Individual
MARYANN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 ALMOND CT, CHESAPEAKE, VA 23323-5623
(757) 337-0216
Mailing address
1302 ALMOND CT, CHESAPEAKE, VA 23323-5623
(757) 337-0216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004673
VA
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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