Individual
CAMILLE TINA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
806 BINBROOK DR, HENDERSON, NV 89052-5208
(702) 979-8015
Mailing address
806 BINBROOK DR, HENDERSON, NV 89052-5208
(702) 979-8015
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8435-S
NV
1041C0700X
Clinical Social Worker
Primary
IC-1429
NV
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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