Individual
MS. ALISE V CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2330 VARTAN WAY, SUITE #150, HARRISBURG, PA 17110-9763
(717) 421-3135
Mailing address
2330 VARTAN WAY, SUITE #150, HARRISBURG, PA 17110-9763
(717) 421-3135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015506
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021393700001
—
PA
Enumeration date
05/19/2006
Last updated
01/08/2011
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