Provider Demographics
NPI:1467597625
Name:CAMERON, GEORGIA LEIGH (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:GEORGIA
Middle Name:LEIGH
Last Name:CAMERON
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 1:3907 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9249
Mailing Address - Country:US
Mailing Address - Phone:281-489-5655
Mailing Address - Fax:281-489-5655
Practice Address - Street 1:3907 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9249
Practice Address - Country:US
Practice Address - Phone:281-489-5655
Practice Address - Fax:281-489-5655
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX506431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical