Individual
ANTJUAN SHANTAE CAMIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
(386) 487-0800
Mailing address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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