IDA GREEN CAMPBELL

CONWAY, SC
NPI1285650770
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: SC  06087)
Enumeration Date2006-07-15
Last Update Date2007-07-08
Business Address
-- IDA GREEN CAMPBELL MA, LMSW
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526-8903
Phone number: 843-347-5060
Mailing Address
-- IDA GREEN CAMPBELL MA, LMSW
PO BOX 1342
GEORGETOWN, SC 29442-1342
Phone number: 843-546-0501
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