Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 2027173 | MA |
NPI | 1003033978 |
---|---|
Provider Name | Mrs. Rocio Del Pilar Camargo-Ruiz |
First Address | Lawrence, MA 01841-1415 |
Second Address | Lawrence, MA 01840-1809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 08/07/2007 |