Individual
DIANNE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 W MARKHAM ST # 728, LITTLE ROCK, AR 72205-7101
(501) 686-7864
Mailing address
13212 WILLOW BEACH RD, NORTH LITTLE ROCK, AR 72117-9307
(501) 517-8389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
871-C
AR
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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