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Individual

MRS. DEBORHA TYCOLIZ CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY. S. LLP

Contact information

Practice address
6770 DIXIE HWY, SUITE 312, CLARKSTON, MI 48346-2087
(248) 922-2300
(248) 922-2304
Mailing address
1094 FOREST BAY DR, WATERFORD, MI 48328-4284
(248) 210-3574

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011328
MI

Other

Enumeration date
12/26/2006
Last updated
07/08/2007
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