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Individual

AFTON CAMPBELL SR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
923 GRANT ST, CALDWELL, ID 83605-4137
(208) 585-3375
Mailing address
923 GRANT ST, CALDWELL, ID 83605-4137
(208) 585-3375

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-38866
ID

Other

Enumeration date
08/13/2019
Last updated
08/13/2019
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