Individual
CAMILLE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E LITTLE BACK RIVER RD APT I3, HAMPTON, VA 23669-1451
(757) 537-3836
Mailing address
900 E LITTLE BACK RIVER RD APT I3, HAMPTON, VA 23669-1451
(757) 537-3836
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
31108773
NC
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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