Individual
VINCE EDLO CAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, SWLC
Contact information
Practice address
714 STONERIDGE DR STE 1, BOZEMAN, MT 59718-7046
(406) 418-5400
Mailing address
2316 NORTH AVE W, MISSOULA, MT 59801-5354
(614) 216-2667
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-SWLC-LIC-64407
MT
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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