Organization
CAROLYN M CAMPBELL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN M CAMPBELL MSW,ACSW,BCD,LCSW (OWNER)
(773) 472-8725
Entity
Organization
Contact information
Practice address
684 W IRVING PARK RD, E8, CHICAGO, IL 60613-3159
(773) 472-8725
Mailing address
684 W IRVING PARK RD, E8, CHICAGO, IL 60613-3159
(773) 472-8725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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