Organization
CAMELLIA COLLECTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIYA WILSON (OWNER)
(609) 203-5389
Entity
Organization
Contact information
Practice address
146 PIKE HOLLOW RD, STRATTON, VT 05360-9756
(609) 203-5389
Mailing address
PO BOX 363, WEST WARDSBORO, VT 05360-0363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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