Individual
GRACIELA CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW/CPW
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905
(915) 545-6763
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-9795
(915) 545-9799
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S11077
TX
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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