Individual
AMANDA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 WOODWARD AVE, SECOND FLOOR, DETROIT, MI 48201-2027
(313) 656-4052
Mailing address
642 LINCOLN AVE, CLAWSON, MI 48017-2515
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301015477
MI
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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