Individual
MS. LAVINA TERESE LEON GUERRERO CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., MFT-136
Contact information
Practice address
194 HERNAN CORTEZ AVENUE, DPHSS PROJECT KARINU SUITE 208, HAGATNA, GU 96910
(671) 478-5418
Mailing address
185 NALAO PLACE, BARRIGADA, GU 96913
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-136
GU
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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