Individual
PATTI ANNE CAMPIDILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
100 SOUTH B. STREET, INDIANOLA, IA 50125-2449
(515) 962-9126
(515) 962-9366
Mailing address
100 SOUTH B. ST., INDIANOLA, IA 50125-2449
(515) 962-9126
(515) 962-9366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00671
IA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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