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Individual

MS. JILL LORRYN CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH

Contact information

Practice address
412 LANGMAID LN, BRADFORD, PA 16701
(585) 968-3877
(585) 968-1522
Mailing address
412 LANGMAID LN, BRADFORD, PA 16701
(585) 968-3877
(585) 968-1522

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
008037-1
NY
235Z00000X
Speech-Language Pathologist
Primary
SL004368L
PA

Other

Enumeration date
05/22/2008
Last updated
01/05/2016
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