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CAMILLA COAKLEY LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1336231331
Individual Registrant: CAMILLA COAKLEY LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
36 WRAY AVE SAUSALITO, CA 94965-1831 US
Tel: 415-758-2343 Fax: --
Tel: 415-758-2343 Fax: --
Contact information for business:
36 WRAY AVE SAUSALITO, CA 94965-1831 US
Tel: 415-758-2343 Fax: --
Tel: 415-758-2343 Fax: --
Registration Information:
NPI: 1336231331
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | 26638 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
