Doctor Name: | KIMBERLY ANN CAMPBELL |
NPI Number: | 1013356385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLMSW |
License Number: | 6801095079 |
Business Practice Address: | 2702 Flushing Rd Flint, MI - 485044534 |
Business Phone Number: | 8104245998 |
Business Fax Number: | 8104246347 |
Mailing Address: | 585 Jewett Rd, MASON |
State: | MI |
Postal Code: | 488548729 |
Phone Number: | 5176765405 |
Fax Number: | 5176765460 |
NPI Enumeration Date: | 06/20/2013 |
NPI Last Update Date: | 06/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801095079 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |