Individual
MICHELLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 HATCHER LN, CLARKSVILLE, TN 37043-5987
(931) 542-2168
Mailing address
3869 MARLA CIR, CLARKSVILLE, TN 37042-7237
(931) 920-0381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000004645
TN
Other
Enumeration date
01/29/2012
Last updated
01/29/2012
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