Organization
CAMARON CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA RENA DAVIS LMSW (OWNER)
(734) 495-3689
Entity
Organization
Contact information
Practice address
3053 RIVER MEADOW CIR, CANTON, MI 48188-2382
(734) 495-3689
Mailing address
3053 RIVER MEADOW CIR, CANTON, MI 48188-2382
(734) 495-3689
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6801084611
MI
251S00000X
Community/Behavioral Health Agency
Primary
6801084611
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801084611
LMSW
MI
Enumeration date
02/12/2008
Last updated
02/19/2008
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