Individual
MS. DIANA L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5412 N CLARK ST, CHICAGO, IL 60640-1223
(773) 368-9619
Mailing address
5412 N CLARK ST, CHICAGO, IL 60640-1223
(773) 368-9619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.017131
IL
Other
Enumeration date
12/28/2009
Last updated
03/17/2016
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