Provider Information for 1316122773
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Ms. CAMILLE C. MAGALOGO LCSW, RPT-S
Sex: Female
NPI: 1316122773
Last Updated: 2023-03-20
Certification Date: 2023-03-20
Certification Date: 2023-03-20
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1316122773 | ||||||||||||
| Enumeration Date | 2008-01-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 801 POLE LINE RD W TWIN FALLS, ID 83301-5810 United States Phone: 208-814-1000 | Fax:208-814-1000 | ||||||||||||
| Primary Practice Address | 647 FILER AVE TWIN FALLS, ID 83301-4008 United States Phone: 208-737-9999 | Fax:208-736-4400 | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|