Individual
LORI MICHELLE CAMPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
US HIGHWAY 191 & AZ STATE ROUTE 264, GANADO, AZ 86505-0457
(928) 755-4861
(928) 755-4659
Mailing address
PO BOX 457, GANADO, AZ 86505-0457
(928) 755-4861
(928) 755-4659
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-16471
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMSW-16471
AZ LICENSE FROM THE BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
07/03/2017
Last updated
07/21/2022
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