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Individual

DR. ANNA J CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
10625 W NORTH AVE, SUITE 208, WAUWATOSA, WI 53226-2315
(414) 476-2699
(414) 476-9643
Mailing address
10625 W NORTH AVE, SUITE 208, WAUWATOSA, WI 53226-2315
(414) 476-2699
(414) 476-9643

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
124-057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39052300
WI
Enumeration date
11/15/2006
Last updated
07/08/2007
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