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Individual
CAMERON ANTTWAN BIRMINGHAM
Active
Individual
CAMERON ANTTWAN BIRMINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
A176245003
MO
101Y00000X
Counselor
Primary
A176245003
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
487149633
N/A
—
Enumeration date
05/19/2021
Last updated
05/19/2021
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