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NPI Code Detail

MEDICARE: CANDICE BRUCE HEWITT

MEDICARE: CANDICE BRUCE HEWITT
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
1104100000XSocial Worker116947CA

General Provider Information

NPI Number : 1295283505
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE BRUCE HEWITT
Provider Business Mailing Address
First Line : 977 N DEWITT AVE
Second Line :
City : CLOVIS
State : CA
Zip : 93611-7013
Country : US
Telephone Number : 562-472-8985
Fax Number :
Provider Business Practice Location Address
First Line : 1396 W HERNDON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93711-7126
Country : US
Telephone Number : 559-256-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2016
Last Update Date : 03/04/2026

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Directions to “ CANDICE BRUCE HEWITT ” Practice Location

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