Individual
CAMILLE WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 E CHURCH ST, ELMIRA, NY 14901-2850
(607) 737-2490
(607) 737-2495
Mailing address
104 WILLIAMS GLEN RD, ITHACA, NY 14850-2054
(607) 737-2490
(607) 737-2495
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091020
NY
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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