Individual
JENNI MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11 N MAIN ST, PO BOX G, RANDOLPH, VT 05060-1126
(802) 728-4466
Mailing address
11 N MAIN ST, PO BOX G, RANDOLPH, VT 05060-1126
(802) 728-4466
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
089.0084108
VT
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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