Individual
DR. MAMIE CAMPBELL BALAJADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 WEST SANTA MONICA DRIVE, DEDEDO, GU 96912
(671) 635-7492
(671) 635-7493
Mailing address
520 WEST SANTA MONICA DRIVE, DEDEDO, GU 96912
(671) 635-7492
(671) 635-7493
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CP003
GU
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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