Individual
MRS. KIMBERLY ANNE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
10 TSIENNETO RD, DERRY, NH 03038
(603) 434-1577
(603) 226-7508
Mailing address
10 TSIENNETO RD, DERRY, NH 03038
(603) 434-1577
(603) 226-7508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1563
—
1041C0700X
Clinical Social Worker
MC11117
ME
1041C0700X
Clinical Social Worker
Primary
MC11117
NH
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432604999
—
ME
Enumeration date
09/10/2008
Last updated
10/01/2014
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