Candice Clossum, BSW

NPI #1063065308 in Florissant, Missouri

Provider Information

NPI Number: 1063065308
Entity Type: Individual
Name: Candice Clossum, BSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: BSW
Enumeration Date: Jul 16, 2019
Last Updated: Jul 16, 2019

Practice Location

Address: 1150 GRAHAM RD
City: Florissant
State: Missouri
ZIP Code: 63031-8077
Phone: (314) 206-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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