Individual
CONNIE JO CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2828 S 1500 E, SALT LAKE CITY, UT 84106-3550
(801) 487-2031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
136351-3501
UT
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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