Individual
MS. CAMILLE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW BCD
Contact information
Practice address
904 E 20TH ST, STE B, FARMINGTON, NM 87401
(505) 325-6532
(505) 325-0827
Mailing address
904 E 20TH ST, STE B, FARMINGTON, NM 87401
(505) 325-6532
(505) 325-0827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-4114
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00067835
—
NM
Enumeration date
11/27/2006
Last updated
07/08/2007
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