Individual
NICOLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 CHARLEVOIX DR SE, STE 200, GRAND RAPIDS, MI 49546-7085
(800) 634-1077
Mailing address
5004 SE PEBBLE CREEK RD, LAWTON, OK 73501-8719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 22893
CA
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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