Individual
MRS. GINA LEAH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1441 29TH ST STE 213, WEST DES MOINES, IA 50266-1330
(515) 661-4103
Mailing address
1441 29TH ST STE 213, WEST DES MOINES, IA 50266-1330
(515) 661-4103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003707
LICENSE NUMBER
GA
Enumeration date
10/24/2006
Last updated
11/30/2024
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