Individual
DARA MICHELLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
2720 SOUTHWOOD LN, JACKSONVILLE, FL 32207-4130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 8262
FL
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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