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Individual

KARA JANE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
31207 KEATS WAY STE 202, EVERGREEN, CO 80439-2220
(303) 204-4962
Mailing address
31207 KEATS WAY STE 202, EVERGREEN, CO 80439-2220
(303) 204-4962

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34006607A
IN
1041C0700X
Clinical Social Worker
Primary
CWS.09923908
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100073590
IN
Enumeration date
01/21/2013
Last updated
08/14/2023
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