Individual
CAMILLE REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
180 BROADWAY, HICKSVILLE, NY 11801-4230
(516) 935-6858
Mailing address
180 BROADWAY, HICKSVILLE, NY 11801-4230
(516) 935-6858
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105610-1
NY
104100000X
Social Worker
LW61127648
WA
Other
Enumeration date
11/04/2014
Last updated
02/17/2023
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