Individual
KATELYN ELIZABETH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
50 MOODY ST, SACO, ME 04072-1536
(800) 434-3000
Mailing address
2 PENDLETON DRIVE, SACO, ME 04072
(800) 434-3000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC19193
ME
1041C0700X
Clinical Social Worker
MC17536
ME
Other
Enumeration date
09/24/2018
Last updated
11/17/2020
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