Individual
CAMILLE DYSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 FONTAINE BLVD, COLORADO SPRINGS, CO 80911-2110
(719) 388-3558
Mailing address
839 E WILLAMETTE AVE, COLORADO SPRINGS, CO 80903-2804
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW.0009925635
CO
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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