Individual
CAMILLE MICHELLE CARWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(682) 429-5707
Mailing address
4929 OASIS CT APT 2010, EULESS, TX 76040-8746
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-9755-202006
TX
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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