Individual
LISA WILSON-CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3401 4TH ST SE, WASHINGTON, DC 20032-5406
(202) 645-3400
Mailing address
6621 HIGHGATE DR, FORT WASHINGTON, MD 20744-1002
(202) 431-1682
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC50080073
DC
1041S0200X
School Social Worker
Primary
LG101923
DC
Other
Enumeration date
10/03/2013
Last updated
03/06/2018
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