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NPI Code Detail

MEDICARE: MRS. CAMILLE ROMAIN LMSW

MEDICARE:  MRS. CAMILLE  ROMAIN  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801086716MI

General Provider Information

NPI Number : 1538780317
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAMILLE ROMAIN LMSW
Provider Business Mailing Address
First Line : 6873 VACHON DR
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48301-2942
Country : US
Telephone Number : 313-215-6994
Fax Number :
Provider Business Practice Location Address
First Line : 6873 VACHON DR
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48301-2942
Country : US
Telephone Number : 313-215-6994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2020
Last Update Date : 05/02/2020

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Directions to “ MRS. CAMILLE ROMAIN LMSW” Practice Location

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