Most Relevant Information
Provider Data
| NPI Number: | 1003350273 |
| Provider Name: | CANDACE PENDERGRAFT LLBSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 6802089711 |
Most Important Dates
| Enumeration Date: | 12/07/2016 |
| Last Updated: | 03/10/2020 |
Provider Practice Location
6801 MEAD ST
DEARBORN
MI
481261736
Practice Location Phone/Fax
| Phone: | 3133786996 |
| Fax: |
Provider Mailing Location
2976 GENEVA ST
DEARBORN
MI
481243356
Provider Mailing Phone/Fax
| Phone: | 3133786996 |
| Fax: |