Individual
ANTOINETTE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6121 ALGARD ST, PHILADELPHIA, PA 19135-3509
(267) 615-6849
Mailing address
6121 ALGARD ST, PHILADELPHIA, PA 19135-3509
(267) 615-6849
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
PA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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