Individual
KATHERINE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(571) 577-3402
Mailing address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(571) 577-3402
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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