MEDICARE: MS. CANDACE DAWN ADLER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW9727	FL

General Provider Information

NPI Number	:	1932577525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CANDACE DAWN ADLER LCSW

Provider Business Mailing Address
First Line	:	233 S FEDERAL HWY
Second Line	:	APT 813
City	:	BOCA RATON
State	:	FL
Zip	:	33432-4937
Country	:	US
Telephone Number	:	954-415-5398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1750 N UNIVERSITY DR
Second Line	:	SUITE 201
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-8903
Country	:	US
Telephone Number	:	954-755-8247
Fax Number	:	954-755-8255

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2015
Last Update Date	:	09/13/2015

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