Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker |
NPI | 1003005687 |
---|---|
Provider Name | Laura K Camargo |
First Address | Springdale, AR 72762-6683 |
Second Address | Springdale, AR 72762-6683 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2007 |
Last Update Date | 20/12/2013 |