Individual
TREVA CAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 DUPONT CIR STE 379, LOUISVILLE, KY 40207-4838
(502) 813-8280
Mailing address
1015 DORSEY LN, LOUISVILLE, KY 40223-2612
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
7377
KY
1041C0700X
Clinical Social Worker
Primary
254260
KY
Other
Enumeration date
10/28/2015
Last updated
07/09/2019
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