Individual
ELIJAH DECAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2507 CALLAWAY RD, TALLAHASSEE, FL 32303-5267
(850) 644-6543
Mailing address
2507 CALLAWAY RD, TALLAHASSEE, FL 32303-5267
(850) 644-6543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW23658
FL
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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