Individual
CAMETHIA PASHELL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MPH, MHA
Contact information
Practice address
BLDG D-3145 MEDERET STREET, FORT BRAGG, NC 28310-0001
(910) 432-1464
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C015186
NC
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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