Individual
ANAEL LUC CAMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
19154 115TH RD, SAINT ALBANS, NY 11412-2708
(718) 769-0405
(718) 769-0419
Mailing address
19154 115TH RD, SAINT ALBANS, NY 11412-2708
(718) 769-0405
(718) 769-0419
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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