Provider Demographics
NPI:1023462819
Name:ZIGLOR, CANDACE (BA, BSW, MSW)
Entity type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:
Last Name:ZIGLOR
Suffix:
Gender:F
Credentials:BA, BSW, MSW
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:
Other - Last Name:HUIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, BSW, MSW
Mailing Address - Street 1:17368 W 12 MILE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-6308
Mailing Address - Country:US
Mailing Address - Phone:248-636-2839
Mailing Address - Fax:888-701-8383
Practice Address - Street 1:17368 W 12 MILE RD STE 201
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-6308
Practice Address - Country:US
Practice Address - Phone:248-636-2839
Practice Address - Fax:888-701-8383
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010991701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical