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Individual

BRIDGET CAMACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
447 LILY PAD LN, FLAT ROCK, NC 28731-9503
(167) 831-4714
Mailing address
537 TURNING LEAF LN, MILL SPRING, NC 28756-4659
(678) 314-4714

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C013175
NC
1041C0700X
Clinical Social Worker
CSW.09926696
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1437585882
AFFILIATION
Enumeration date
08/03/2020
Last updated
05/03/2021
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