Individual
CAMELIA THERESA DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
209 SUNTREE LN, GARNER, NC 27529-6574
(917) 681-3099
Mailing address
8717 FRANK GRIER RD, CHARLOTTE, NC 28215-9430
(917) 681-3099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
C007261
NC
1041C0700X
Clinical Social Worker
Primary
C007261
NC
Other
Enumeration date
06/22/2011
Last updated
03/04/2026
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