Individual
JOHN H. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
210 MITCHELL ST, PICAYUNE, MS 39466-4540
(601) 799-5886
Mailing address
210 MITCHELL ST, PICAYUNE, MS 39466-4540
(601) 799-5668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C6019
MS
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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