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NPI Code Detail

MEDICARE: CANDACE CURZON LCSW

MEDICARE: CANDACE CURZON 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
11041C0700XClinical Social Worker8609120-3501UT

General Provider Information

NPI Number : 1811347446
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE CURZON LCSW
Provider Business Mailing Address
First Line : 1719 S MAIN ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-1911
Country : US
Telephone Number : 801-557-0635
Fax Number :
Provider Business Practice Location Address
First Line : 1719 S MAIN ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-1911
Country : US
Telephone Number : 801-557-0635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2016
Last Update Date : 06/14/2016

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Directions to “ CANDACE CURZON LCSW” Practice Location

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