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Individual

DR. MICHAEL GUY CAMMACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2481 LLEWELLYN AVE, BHCS, USA MEDDAC, FORT MEADE, MD 20755-5800
(301) 677-8895
(301) 677-8957
Mailing address
1603 SHERWOOD RD, SILVER SPRING, MD 20902-3960
(301) 592-8447
(301) 677-8967

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3057
AZ

Other

Enumeration date
10/10/2006
Last updated
07/25/2007
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