Candes Nicole Anderson-Gray, LMSW
Social Worker, Clinical in Livonia, MI. Individual provider (NPI-1).
NPI number1114559754
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1114559754
- Entity type
- Individual (NPI-1)
- Name
- Candes Nicole Anderson-Gray
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2020
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6801115503 | MI | Yes |
Other names
- Candes Nicole Gray (Former Name)
Practice location
29550 Five Mile RdLivonia, MI 48154-3710
Phone 800-395-3223
Mailing address
6549 Town Center Dr Ste AClarkston, MI 48346-4824
Phone 800-395-3223
Other practice locations
3767 Central Ave
San Diego, CA 92105-2506
San Diego, CA 92105-2506
Phone 619-584-4010
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