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Individual

MONICA L CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
902 EDMOND ST, SUITE 203, SAINT JOSEPH, MO 64501-2702
(816) 364-4300
(816) 279-8148
Mailing address
4906 MOCKINGBIRD LN, SAINT JOSEPH, MO 64506-3327
(816) 364-4300
(816) 279-8148

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004497
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004497
STATE LICENSE
MO
Enumeration date
04/16/2007
Last updated
07/08/2007
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