Individual
MRS. NANCY C CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1321 WASHINTON AVENUE, 308, PORTLAND, ME 04103
(207) 797-4555
(207) 797-4558
Mailing address
7 BENTRIDGE RD, FALMOUTH, ME 04105-2539
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6067
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432631099
—
ME
Enumeration date
08/10/2007
Last updated
03/28/2012
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