| Doctor Name: | CAMILLE ANDERSON |
| NPI Number: | 1417326877 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 609 N 200 W Heber City, UT - 840321447 |
| Business Phone Number: | 4356713910 |
| Business Fax Number: | |
| Mailing Address: | 609 N 200 W, HEBER |
| State: | UT |
| Postal Code: | 84032 |
| Phone Number: | 4356713910 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2015 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041S0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |