Individual
CAMILLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
1700 SUNSHINE TER SE, LOWELL ES, ALBUQUERQUE, NM 87106-3906
(505) 764-2011
Mailing address
1700 SUNSHINE TER SE, LOWELL ES, ALBUQUERQUE, NM 87106-3906
(505) 764-2011
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
M 5700
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35288230
—
NM
Enumeration date
04/13/2007
Last updated
07/09/2007
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