Individual
MICHAEL PHILLIP CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1751 E RIVERSIDE DR, INDIANAPOLIS, IN 46202-2010
(317) 760-0277
Mailing address
4607 EAGLES WATCH LN, INDIANAPOLIS, IN 46254-9527
(317) 503-3252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34011524A
IN
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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