Individual
MS. CAMILLE C. MAGALOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, RPT-S
Contact information
Practice address
647 FILER AVE, TWIN FALLS, ID 83301-4008
(208) 737-9999
(208) 736-4400
Mailing address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
(208) 814-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMSW-26630
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-29006
ID
Other
Enumeration date
01/04/2008
Last updated
03/20/2023
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