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Individual

SAMANTHA CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
2000 N RACINE AVE STE 3300, CHICAGO, IL 60614-7008
(773) 413-9523
Mailing address
1534 N HUDSON AVE APT 1N, CHICAGO, IL 60610-5834

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150109410
IL

Other

Enumeration date
08/14/2023
Last updated
08/21/2023
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