Individual
WILLIAM JAMES CAMPAGNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
718 SMYTH RD, MANCHESTER, NH 03134
(603) 624-4366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1019740
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312294
—
MA
Enumeration date
05/08/2007
Last updated
10/29/2007
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