Individual
CAMILLA CAROLYN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
16 APPALOOSA CT, WENTZVILLE, MO 63385-4514
(636) 293-0517
Mailing address
1939 WENTZVILLE PKWY STE 114, WENTZVILLE, MO 63385-3424
(636) 293-0517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2021013237
MO
1041C0700X
Clinical Social Worker
2023015563
MO
Other
Enumeration date
07/02/2021
Last updated
06/06/2023
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