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Organization

CAMPBELL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ISAIAH TRAVIS CAMPBELL BA (SOCIAL WORKER)
(215) 206-9502
Entity
Organization

Contact information

Practice address
600 ABBOTT DR, BROOMALL, PA 19008-4317
(610) 394-8668
(610) 394-6929
Mailing address
125 LANSDOWNE COURT, LANSDOWNE, PA 19050
(610) 394-8668
(610) 394-6929

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/13/2015
Last updated
10/13/2015
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