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Individual

JOANNA LESLIE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC-C

Contact information

Practice address
20 LABARCA LN, BANGOR, ME 04401-2645
(207) 990-5470
(207) 990-5470
Mailing address
31 NAYLOR ST, BANGOR, ME 04401-3319
(207) 990-0431

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL3104
ME

Other

Enumeration date
05/15/2007
Last updated
07/09/2007
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