Individual
AMY LYNNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23164 DRAGOON RD, LIGNUM, VA 22726-2036
(540) 399-1926
(540) 399-1193
Mailing address
23164 DRAGOON RD, LIGNUM, VA 22726-2036
(540) 399-1926
(540) 399-1193
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007828
VA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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