Individual
LARRY CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1704 UMBRELLA TREE DR, EDGEWATER, FL 32132-3111
(386) 689-6800
Mailing address
1704 UMBRELLA TREE DR, EDGEWATER, FL 32132-3111
(386) 689-6800
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW8422
FL
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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