Individual
MONICA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 COW PEN RD APT D106, MIAMI LAKES, FL 33014-6677
(305) 769-8181
Mailing address
6501 COW PEN RD APT D106, MIAMI LAKES, FL 33014-6677
(305) 769-8181
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
FL
Enumeration date
05/05/2015
Last updated
05/05/2015
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