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Contact Information

MARY A CAMPER, DD, PHD, LCSW, CADC
401 E 162ND ST STE 103
SOUTH HOLLAND, IL60473-2237
 Phone: 815-418-6577
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Case Manager/Care Coordinator

171M00000X
 

Driver

172A00000X
Indicates primary specialty

NPI Profile & details for MARY A CAMPER · (Female)

NPI Number 1417420696
Status Active
Credentials DD, PHD, LCSW, CADC
Entity Individual
Enumeration date 01/09/2019
Last updated 05/18/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 149.026415
  • IL License # 32188
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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