Individual
STEVIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
183 S ORANGE AVE, NEWARK, NJ 07018
(973) 972-1232
(973) 972-0845
Mailing address
20 S ORANGE, NEWARK, NJ 07018
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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