Individual
MRS. CARMEN LIZZETTE CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
67 UNION ST, NATICK, MA 01760-7700
(508) 650-7380
Mailing address
96 NEWBURY ST, FRAMINGHAM, MA 01701-4536
(508) 202-9763
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180004925
IL
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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