Individual
MRS. BRENNA G CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
702 HICKORY ST STE C, ABILENE, TX 79601-5038
(325) 232-5860
Mailing address
1665 CEDAR CREST DR, ABILENE, TX 79601-3725
(325) 232-5860
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LSW0000004613
TN
1041C0700X
Clinical Social Worker
Primary
51310
TX
1041C0700X
Clinical Social Worker
LSW0000004613
TN
Other
Enumeration date
08/02/2005
Last updated
03/17/2018
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