Doctor Name: | MS. CORDELIA CAMPBELL |
NPI Number: | 1013326677 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW,LCSWA |
License Number: | P009102 |
Business Practice Address: | 704 S Walnut St Fairmont, NC - 283401838 |
Business Phone Number: | 9105782948 |
Business Fax Number: | |
Mailing Address: | 285 Lark Ave, LUMBERTON |
State: | NC |
Postal Code: | 283588347 |
Phone Number: | 9105782948 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2014 |
NPI Last Update Date: | 08/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P009102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |