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Individual

CAMILLE ORTANEZ

Active
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Individual

CAMILLE ORTANEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, LPCC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC391
CA
1041C0700X
Clinical Social Worker
LCS 24616
CA
1041C0700X
Clinical Social Worker
Primary
LCS24616
CA

Other

Enumeration date
06/16/2009
Last updated
06/04/2014
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