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Individual

DIANNE E. CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
880 PROSPECTOR TRAIL, SUITE 100, HARKER HEIGHTS, TX 76548
(254) 690-1512
(254) 690-1532
Mailing address
880 PROSPECTOR TRAIL, SUITE 100, HARKER HEIGHTS, TX 76548
(254) 690-1512
(254) 690-1532

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
08526
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1082372-02
TX
Enumeration date
10/23/2006
Last updated
09/18/2008
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