Individual
CAMPBELL STATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1821 18TH ST NW, WASHINGTON, DC 20009-5526
(202) 341-0500
(877) 637-7491
Mailing address
PO BOX 73188, WASHINGTON, DC 20056-3188
(202) 341-0500
(877) 637-7491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CW018808
PA
1041C0700X
Clinical Social Worker
Primary
LC50080752
DC
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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