Individual
CAMILLE STOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8540 VERREE RD, PHILADELPHIA, PA 19111-1325
(215) 342-7660
(215) 701-3151
Mailing address
8540 VERREE RD, PHILADELPHIA, PA 19111-1325
(215) 342-7660
(215) 701-3151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018594
PA
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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