Most Relevant Information
Provider Data
NPI Number: | 1003032194 |
Provider Name: | CANDACE LYNNE QUIBELL LCSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | 10838 |
Most Important Dates
Enumeration Date: | 04/17/2007 |
Last Updated: | 10/24/2011 |
Provider Practice Location
907 B TOMBSTONE CANYON
BISBEE
AZ
85603
Practice Location Phone/Fax
Phone: | 5202493511 |
Fax: |
Provider Mailing Location
PO BOX 513
BISBEE
AZ
856030513
Provider Mailing Phone/Fax
Phone: | 5202493511 |
Fax: | 5204325323 |