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Individual

DENNIS RAY CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
321 WEST PROMENADE, MEXICO, MO 65251-1753
(573) 582-1234
(573) 582-1212
Mailing address
340 KELLEY PKWY, MEXICO, MO 65265-3811
(573) 582-1234
(573) 582-1212

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01380
MO

Other

Enumeration date
04/29/2008
Last updated
01/31/2018
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