Individual
MRS. BELEN CAMACHO FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2323 W MARTIN LUTHER KING JR BLVD, LOS ANGELES, CA 90008-2724
(323) 293-5008
Mailing address
PO BOX 83475, LOS ANGELES, CA 90083-0475
(310) 686-8280
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS19480
CA
Other
Enumeration date
11/06/2006
Last updated
11/20/2007
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