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Individual

ELIZABETH MCCAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
3325 PADDOCKS PKWY STE 415, SUWANEE, GA 30024-6059
(404) 216-0252
Mailing address
5285 MARSTON RD, ATLANTA, GA 30360-1226
(404) 216-0252
(678) 513-1188

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
894
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000277109A
GA
Enumeration date
11/17/2005
Last updated
02/20/2023
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