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Individual

CAMELLIA ANNTANETTE FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
230 NORTH RD, POUGHKEEPSIE, NY 12601-1328
(845) 485-9700
Mailing address
102 FULTON AVE, POUGHKEEPSIE, NY 12603-2857
(845) 452-2728

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
115272
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146002566
NY
Enumeration date
09/19/2022
Last updated
09/19/2022
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