Individual
STEPHANIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1785 PROSPECT AVE, BRONX, NY 10457-6824
(718) 877-8636
Mailing address
1219 E 224TH ST, BRONX, NY 10466-5805
(718) 877-8636
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
767717
NY
Other
Enumeration date
09/07/2022
Last updated
03/14/2024
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