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Shannon M Campbell, LCSW

Social Worker, Clinical in Albuquerque, NM. Individual provider (NPI-1).

NPI number1982248068
StatusActive
Last updated in NPPESJun 5, 2024

Details

NPI
1982248068
Entity type
Individual (NPI-1)
Name
Miss Shannon M Campbell
Credential
LCSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 1, 2019
Certification date
Jun 5, 2024
Last updated
Jun 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSWB-2024-0333NMYes

Practice location

1126 Lafayette Dr Ne
Albuquerque, NM 87106-1904

Phone 505-220-7037

Mailing address

1126 Lafayette Dr Ne
Albuquerque, NM 87106-1904

Phone 505-220-7037

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