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Individual

CAROLE J. CAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.C.S.W. RN

Contact information

Practice address
556 CLINTON AVE S, ROCHESTER, NY 14620-1105
(585) 442-8422
(585) 442-8494
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(518) 952-8408
(518) 952-8287

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
029801
NY
163W00000X
Registered Nurse
312609
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01420800
NY
Enumeration date
07/18/2006
Last updated
03/17/2018
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