Individual
MARIA MAGDALENA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
552 ARCHES ST, SHELLEY, ID 83274-1035
(702) 823-6105
Mailing address
552 ARCHES ST, SHELLEY, ID 83274-1035
(702) 823-6105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-35453
ID
1041C0700X
Clinical Social Worker
Primary
8851793
ID
Other
Enumeration date
03/28/2011
Last updated
03/18/2026
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