Individual
CAMILLIS SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
455 1ST ST, WOODLAND, CA 95695-4023
(530) 662-2211
(530) 662-4315
Mailing address
455 1ST ST, WOODLAND, CA 95695-4023
(530) 662-2211
(530) 662-4315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 11169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW 11169
BOARD OF BEHAVIORAL SCIENCE
CA
Enumeration date
06/05/2015
Last updated
06/09/2015
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