Individual
KOMUNI CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-5800
Mailing address
7646 FANNING DR, JACKSONVILLE, FL 32244-8155
(404) 457-6266
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW18509
FL
Other
Enumeration date
06/02/2021
Last updated
09/14/2023
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