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Elizabeth Lynn Campbell, LCSW

Social Worker, Clinical in Rego Park, NY. Individual provider (NPI-1).

NPI number1124199930
StatusActive
Last updated in NPPESDec 21, 2009

Details

NPI
1124199930
Entity type
Individual (NPI-1)
Name
Elizabeth Lynn Campbell
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2006
Last updated
Dec 21, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical069421NYYes

Practice location

9729 64th Rd
Rego Park, NY 11374-2240

Phone 718-896-3400 · Fax 718-459-5621

Mailing address

3441 85th St
4c
Jackson Heights, NY 11372-3246

Phone 718-478-2430

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