Individual
ALIDA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
629 W 185TH ST, NEW YORK, NY 10033-3102
(212) 928-3900
Mailing address
629 W 185TH ST, NEW YORK, NY 10033-3102
(212) 928-3900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R032735-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R032735-1
LICENSE
NY
Enumeration date
09/16/2006
Last updated
07/08/2007
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