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Individual

MISS LAURIE ANN CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PEER SPECIALIST

Contact information

Practice address
6325 FRANKLYN BLVD, BROOKPARK, OH 44142-4002
(216) 355-6582
Mailing address
6325 FRANKLYN BLVD, BROOKPARK, OH 44142-4002
(216) 355-6582

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
17500000X
OH
Enumeration date
09/02/2021
Last updated
09/02/2021
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