Candice Kae Mohammad, LICSW

NPI #1205099215 in Fridley, Minnesota

Provider Information

NPI Number
1205099215
Entity Type
Individual
Name
Candice Kae Mohammad, LICSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LICSW
Enumeration Date
Jul 9, 2008
Last Updated
Jul 9, 2008

Practice Location

Address
490 FAIRMONT ST NE
Address 2
NO BUSINESS
ZIP Code
55432-1667
Phone
(763) 717-7979

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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