Most Relevant Information
Provider Data
| NPI Number: | 1003410648 |
| Provider Name: | CANDICE JILLIAN DUCKWORTH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/24/2020 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
3050 FIFTH AVE STE 100
KETCHIKAN
AK
999015773
Practice Location Phone/Fax
| Phone: | 9074630627 |
| Fax: |
Provider Mailing Location
884 BROWN DEER RD
KETCHIKAN
AK
999016211
Provider Mailing Phone/Fax
| Phone: | 9076170578 |
| Fax: |