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Individual
MARISSA J CAMPBELL
Active
Individual
MARISSA J CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW,MSW,BSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
009877
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060669107
ANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT
01
—
13802666
CAQH
CT
01
—
D339229 DANBURY
BEACON HEALTH STRATEGIES
CT
01
—
NOT ELIGIBLE
MHN TRICARENORTH
CT
01
—
PENDING
CIGNA BEHAVIORAL HEALTH
CT
05
—
PENDING
—
CT
Enumeration date
03/30/2016
Last updated
04/22/2025
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