Individual
ELLEN SHAPIRO CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2520 N UNIVERSITY AVE STE 100, PROVO, UT 84604-3819
(385) 567-4063
(385) 567-4063
Mailing address
2520 N UNIVERSITY AVE STE 100, PROVO, UT 84604-3819
(385) 567-4063
(385) 567-4063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/07/2019
Last updated
12/12/2022
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