Individual
COREY C CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3400 W NEW LEAF LN, PEORIA, IL 61615-3311
(309) 589-1011
(309) 589-1019
Mailing address
600 FAYETTE ST, PEORIA, IL 61603-3610
(309) 671-8005
(309) 671-8021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015566
IL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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