Provider Demographics
NPI:1679874994
Name:KAMARA, LYNN PATRICIA (LCSW)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:PATRICIA
Last Name:KAMARA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 SUKHUMVIT SOI 22 #18A2
Mailing Address - Street 2:
Mailing Address - City:KLONGTOEY
Mailing Address - State:BANGKOK
Mailing Address - Zip Code:10110
Mailing Address - Country:TH
Mailing Address - Phone:66080-050-2179
Mailing Address - Fax:
Practice Address - Street 1:10 SUKHUMVIT SOI 22 #18A2
Practice Address - Street 2:
Practice Address - City:KLONGTOEY
Practice Address - State:BANGKOK
Practice Address - Zip Code:10110
Practice Address - Country:TH
Practice Address - Phone:66080-050-2179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA239221041C0700X
IL1490106171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical