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Individual

CAMILLA RICHELLE AVERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1109 JEFFERSON RD STE C, SOUTH CHARLESTON, WV 25309-8815
(877) 338-2725
(304) 715-3537
Mailing address
1005 S B ST, SAINT ALBANS, WV 25177-2734
(304) 514-1867

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
10/18/2023
Last updated
10/18/2023
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