Individual
NANCY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
19410 NE 116TH ST, BRUSH PRAIRIE, WA 98606-3002
(503) 729-4460
Mailing address
19410 NE 116TH ST, BRUSH PRAIRIE, WA 98606-3002
(503) 729-4460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L3635SR
OR
1041C0700X
Clinical Social Worker
Primary
LW 00007106
WA
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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