Individual
LYDIA CAMPANILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 KIETZKE LN STE N250, RENO, NV 89502-5000
(775) 507-7222
Mailing address
1203 PULLMAN DR, SPARKS, NV 89434-4093
(775) 409-7766
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10746-M
NV
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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