Individual
SERENA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-P
Contact information
Practice address
620 NW 5TH ST, MOORE, OK 73160-3948
(405) 208-4469
Mailing address
620 NW 5TH ST, MOORE, OK 73160-3948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
9258-P
OK
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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