Individual
CAMISHA NICOLE GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-9022
Mailing address
3201 SWEETGUM TRL APT 1921, ARLINGTON, TX 76014-2875
(832) 871-0180
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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