Individual
MISS SHANNON M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1126 LAFAYETTE DR NE, ALBUQUERQUE, NM 87106-1904
(505) 220-7037
Mailing address
1126 LAFAYETTE DR NE, ALBUQUERQUE, NM 87106-1904
(505) 220-7037
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0333
NM
Other
Enumeration date
11/01/2019
Last updated
06/05/2024
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