Individual
CANDICE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 E DEWEY, SAPULPA, OK 74066
(918) 227-2016
Mailing address
3306 E 70TH ST, TULSA, OK 74136-2663
(918) 402-4567
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1516
OK
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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