Individual
DESTANIE NICOLE CAMARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 N RIDGE RD E STE D, LORAIN, OH 44055-3359
(440) 723-5511
Mailing address
20000 LORAIN RD APT 201, FAIRVIEW PARK, OH 44126-3458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2106316
OH
Other
Enumeration date
04/05/2021
Last updated
06/28/2021
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