Individual
KATHRYN LILLY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 ROUTE 22, BRIDGEWATER, NJ 08807-2405
(908) 722-1881
Mailing address
61 WENONAH AVE, LAKE HIAWATHA, NJ 07034-2719
(973) 879-8815
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06852000
NJ
1041C0700X
Clinical Social Worker
44SL06852000
NJ
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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