Individual
STEPHANIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110-1142
(774) 454-9076
Mailing address
430 NEW PARK AVE STE 102, WEST HARTFORD, CT 06110-1142
(774) 454-9076
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
0903002519
VA
104100000X
Social Worker
Primary
14930
CT
104100000X
Social Worker
61696
TX
Other
Enumeration date
09/30/2022
Last updated
03/19/2025
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