Individual
DEANNA ROSHELLE CAMPBELL SANDBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
142 PRINCE LN, BAXTER, KY 40806-8593
(423) 248-9967
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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