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General NPI Number Information
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NPI Number | 1265662837
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Entity Type | Organization
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Legal Business Name | CAMERON COUNSELING SERVICES
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 01/02/2013
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Provider Practice Location Address
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Address Line | 460 SMITH ST SUITE L
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City | MIDDLETOWN
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State | CT
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Zip | 06457-1594
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Country | US
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Telephone | 860-338-4841
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Fax |
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Provider Business Mailing Address
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Address Line | 94 TAVERN CIR
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City | MIDDLETOWN
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State | CT
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Zip | 06457-1561
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Country | US
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Telephone | 860-338-4841
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SABRINA CAMERON
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Credential | LCSW
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Telephone | 860-338-4841
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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 | 006635
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License Number State | CT
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