Individual
AMANDA WILMOTH CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
324 VIRGINIA AVE, DANVILLE, VA 24541-3760
(143) 471-0011
Mailing address
324 VIRGINIA AVE, DANVILLE, VA 24541-3760
(143) 471-0011
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904015600
VA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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