Candace D Fair, LCSW

NPI #1942317334 in Perryville, Missouri

Provider Information

NPI Number: 1942317334
Entity Type: Individual
Name: Candace D Fair, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LCSW
Enumeration Date: Aug 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 12 N KINGSHIGHWAY
City: Perryville
State: Missouri
ZIP Code: 63775
Phone: (573) 547-3116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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