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General NPI Number Information
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NPI Number | 1992314637
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Entity Type | Individual
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Provider Name | SARA CAMPBELL MSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 07/29/2020
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 238 HOOVER BLVD STE 30
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City | HOLLAND
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State | MI
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Zip | 49423-3782
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Country | US
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Telephone | 616-312-2989
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Fax |
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Provider Business Mailing Address
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Address Line | 238 HOOVER BLVD STE 30
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City | HOLLAND
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State | MI
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Zip | 49423-3782
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Country | US
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Telephone | 616-312-2989
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6851114518
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801118946
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License Number State | MI
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