Individual
JOSHUA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12930 JAMES ST STE 140, HOLLAND, MI 49424-8324
(616) 322-1954
Mailing address
11203 MARTIN RD, WARREN, MI 48093-4418
(313) 658-5529
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000206
MI
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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