Individual
CAMILLE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
112 S COUNTRY RD, SUITE 208, BELLPORT, NY 11713-2534
(631) 319-9195
Mailing address
20 WOODLAND PARK RD, BELLPORT, NY 11713-2315
(631) 319-9195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089226
NY
Other
Enumeration date
04/24/2017
Last updated
02/24/2020
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