ANTJUAN SHANTAE CAMIEL

LAKE CITY, FL
NPI1306089297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-04-08
Last Update Date2009-04-08
Business Address
-- ANTJUAN SHANTAE CAMIEL
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
Mailing Address
-- ANTJUAN SHANTAE CAMIEL
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: