Individual
MILLIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BRAY ST, ATHENS, GA 30601-2203
(706) 389-6789
Mailing address
510 CLIFFHAVEN LN, ATHENS, GA 30606-7958
(706) 765-5568
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004698
GA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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