Individual
MRS. JILL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6718 PATTERSON AVE, RICHMOND, VA 23226-3419
(804) 282-5644
(804) 285-0006
Mailing address
6718 PATTERSON AVE, RICHMOND, VA 23226-3419
(804) 282-5644
(804) 285-0006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006971
VA
Other
Enumeration date
09/06/2011
Last updated
01/20/2012
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