Individual
JERRY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2323 21ST AVE S STE 401, NASHVILLE, TN 37212-4930
(615) 297-6808
Mailing address
2803 WESTWOOD AVE, NASHVILLE, TN 37212-4704
(615) 297-1652
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
431
TN
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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