Provider Information for 1346295169
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CARLOS CAMARENA LSCSW
Sex: Male
NPI: 1346295169
Last Updated: 2016-11-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1346295169 | ||||||||
| Enumeration Date | 2006-05-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 12367 E LINCOLN CT WICHITA, KS 67207-7005 United States Phone: 316-734-9568 | Fax:316-854-5285 | ||||||||
| Primary Practice Address | 12367 E LINCOLN CT WICHITA, KS 67207-7005 United States Phone: 316-734-9568 | Fax:316-854-5285 | ||||||||
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