Individual
CAMERON HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
3747 SW DURHAM DR APT 302, DURHAM, NC 27707-3260
(919) 533-9631
Mailing address
3747 SW DURHAM DR APT 302, DURHAM, NC 27707-3260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017336
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P017336
NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD
NC
Enumeration date
03/04/2022
Last updated
11/15/2022
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