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Individual
SUSAN O.K. CAMPAGNOLA
Active
Individual
SUSAN O.K. CAMPAGNOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0904004978
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114431
HEALTHKEEPERS
VA
05
—
114431
—
VA
01
—
331724
TRICARE
VA
01
—
7093521
AETNA
VA
01
—
O80431M
SOUTHERN HEALTH
VA
05
—
O80431M
—
VA
Enumeration date
04/04/2006
Last updated
09/27/2007
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