Individual
LYDIA CLARA CAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, CBHCMS, CM, FAR
Contact information
Practice address
1469 NW 36TH ST, MIAMI, FL 33142-5557
(786) 487-8945
(305) 635-2042
Mailing address
1469 NW 36TH ST, MIAMI, FL 33142-5557
(786) 487-8945
(305) 635-2042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CBHCMS100562
FL
Other
Enumeration date
11/29/2018
Last updated
12/03/2018
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