Individual
CAMARA LISETTE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 CHUBB AVE APT 535, LYNDHURST, NJ 07071-3575
(201) 838-4583
Mailing address
120 CHUBB AVE APT 535, LYNDHURST, NJ 07071-3575
(201) 838-4583
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
172V00000X
Community Health Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
01/21/2025
Last updated
02/05/2025
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