Individual
SHANNA MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2600 MILLER ST, BETHANY, MO 64424-2701
(660) 425-2211
Mailing address
PO BOX 428, BETHANY, MO 64424-0428
(660) 425-2211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009015695
MO
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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