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Individual

ANNA CAMPBELL PRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2300 MARTIN LUTHER KING JR AVE SE FL 5, WASHINGTON, DC 20020-5807
(202) 528-5154
Mailing address
2417 CENTRAL AVE, ALEXANDRIA, VA 22302-3203
(703) 431-5148

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904009352
VA
1041C0700X
Clinical Social Worker
Primary
LC50080713
DC

Other

Enumeration date
07/05/2016
Last updated
07/05/2016
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