Individual
ANDREA DENICE CAMPBELL-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4491 BESSIE, ST. LOUIS, MO 63115-2707
(314) 660-1690
(314) 389-4820
Mailing address
4491 BESSIE, ST. LOUIS, MO 63115-2707
(314) 389-4820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
112012
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
466958808
—
MO
Enumeration date
02/13/2007
Last updated
12/27/2012
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