Individual
SALLY ANNE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8275 PINE KNOB RD, CLARKSTON, MI 48348-3735
(248) 872-9872
Mailing address
8275 PINE KNOB RD, CLARKSTON, MI 48348-3735
(248) 872-9872
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AF360384113
MI
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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