Doctor Name: | DAWN S CAMPBELL |
NPI Number: | 1205864485 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801064423 |
Business Practice Address: | 375 Apple Tree Dr Ionia, MI - 488467506 |
Business Phone Number: | 6165271790 |
Business Fax Number: | 6165270538 |
Mailing Address: | 4405 Overlook Ter Se, KENTWOOD |
State: | MI |
Postal Code: | 495125619 |
Phone Number: | 6164644445 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801064423 |
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 |