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Individual
MRS. KRISTINA L CAMP
Active
Individual
MRS. KRISTINA L CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264520
—
IN
Enumeration date
07/10/2008
Last updated
07/10/2008
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