Individual
MS. CAMILLE PHYLLIS ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
110 EAST 82ND STREET, NEW YORK, NY 10028
(718) 225-5070
Mailing address
37 CIRCLE ROAD, DOUGLASTOWN, NY 11363-1301
(718) 225-5070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
RPO14635
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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