Individual
MS. CAMELA R. AYOUB TAKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
5840 LORAC, SUITE 4, CLARKSTON, MI 48346
(248) 657-2370
(248) 592-7925
Mailing address
3910 MAIDEN ST, WATERFORD, MI 48329-1047
(248) 515-1733
(248) 592-7925
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801020223
MI
Other
Enumeration date
01/26/2010
Last updated
02/25/2020
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