Most Relevant Information
Provider Data
NPI Number: | 1003036658 |
Provider Name: | INGRID SHARON CAMPBELL L-CSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | RO42678-1 |
Most Important Dates
Enumeration Date: | 04/26/2007 |
Last Updated: | 02/04/2010 |
Provider Practice Location
101 SEAVIEW TER
NORTHPORT
NY
117682932
Practice Location Phone/Fax
Phone: | 6314232817 |
Fax: | 6314232817 |
Provider Mailing Location
101 SEAVIEW TERRACE
NORTHPORT
NY
117689797
Provider Mailing Phone/Fax
Phone: | 6314232817 |
Fax: | 6314232817 |