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Individual
LUCINDRA CAMPBELL
Active
Individual
LUCINDRA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
606088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062573304
—
TX
01
—
8N7219
BCBS
TX
Enumeration date
09/11/2006
Last updated
07/08/2007
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