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Individual

DANIEL F. CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
10560 MAIN ST STE 411, FAIRFAX, VA 22030-7174
(703) 352-3812
(703) 281-1652
Mailing address
10560 MAIN ST STE 411, FAIRFAX, VA 22030-7174
(703) 352-3812
(703) 281-1652

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904003349
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
284351
BLUECROSS BLUESHIELD
VA
01
S960 0001
BLUECROSS BLUESHIELD
DC
Enumeration date
03/10/2006
Last updated
11/26/2008
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