Individual
AUDREY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2000 W PIONEER PKWY STE 6, PEORIA, IL 61615-1883
(309) 253-2471
(309) 692-2052
Mailing address
2000 W PIONEER PKWY STE 6, PEORIA, IL 61615-1883
(309) 253-2471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149015586
IL
Other
Enumeration date
03/01/2013
Last updated
01/26/2018
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