Individual
SHANNON DIANE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4609 W BANFF LN, GLENDALE, AZ 85306-3607
(602) 920-6893
Mailing address
4609 W BANFF LN, GLENDALE, AZ 85306-3607
(602) 920-6893
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7996
AZ
Other
Enumeration date
01/24/2013
Last updated
01/24/2013
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