Individual
MS. CAMILLE ANN LEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1320 ASHLEY SQ OFC CONDOMINIU, WINSTON SALEM, NC 27103-2919
(336) 471-1604
(252) 537-9199
Mailing address
1221 N MAIN ST, HIGH POINT, NC 27262-3173
(336) 471-1604
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2085
NC
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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