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CAMILLA COAKLEY LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1336231331

Individual Registrant:
 CAMILLA  COAKLEY LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
36 WRAY AVE  SAUSALITO, CA 94965-1831 US
Tel: 415-758-2343  Fax: --

Contact information for business:
36 WRAY AVE  SAUSALITO, CA 94965-1831 US
Tel: 415-758-2343  Fax: --

Registration Information:
NPI: 1336231331
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA26638

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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