Organization
CAMP ACADEMIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY PENNEBAKER M.ED. (FOUNDER AND CEO)
(706) 884-4492
Entity
Organization
Contact information
Practice address
907 NEW FRANKLIN RD, LAGRANGE, GA 30240-1203
(706) 884-4492
Mailing address
907 NEW FRANKLIN RD, LAGRANGE, GA 30240-1203
(706) 884-4492
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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