Individual
ELIZABETH KAMPHAUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2631 BLAIRSTONE RD, TALLAHASSEE, FL 32301-5905
(850) 297-0072
Mailing address
2631 BLAIRSTONE RD, TALLAHASSEE, FL 32301-5905
(850) 297-0072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SW8935
FL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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