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General NPI Number Information
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NPI Number | 1174113104
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Entity Type | Organization
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Legal Business Name | SUZANNE CAMOS, LCSW PLLC
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Dates
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Enumeration Date | 01/23/2021
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 2515 JOHNATHAN WAY
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City | LEANDER
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State | TX
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Zip | 78641-3073
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Country | US
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Telephone | 512-573-3784
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E WHITESTONE BLVD STE 148-181
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City | CEDAR PARK
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State | TX
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Zip | 78613-1906
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Country | US
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Telephone | 512-573-3784
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUZANNE CAMOS
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Credential | LCSW
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Telephone | 512-573-3784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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