Individual
MIRANDA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2346 KINGS POINT DR, DUNWOODY, GA 30338-5925
(714) 791-0434
Mailing address
2346 KINGS POINT DR, DUNWOODY, GA 30338-5925
(714) 791-0434
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004977
GA
Other
Enumeration date
09/09/2009
Last updated
12/15/2016
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