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NPI Code Detail

MEDICARE: CATHERINE CAMPANE

MEDICARE: CATHERINE CAMPANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041S0200XSchool Social WorkerPPS-0604967VA

General Provider Information

NPI Number : 1396242905
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE CAMPANE
Provider Business Mailing Address
First Line : 8270 WILLOW OAKS CORPORATE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4530
Country : US
Telephone Number : 703-568-4816
Fax Number :
Provider Business Practice Location Address
First Line : 8270 WILLOW OAKS CORPORATE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4530
Country : US
Telephone Number : 703-568-4816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2018
Last Update Date : 04/15/2026

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Directions to “ CATHERINE CAMPANE ” Practice Location

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