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Individual

MS. MARY EARLE CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
5210 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3816
(803) 226-0275
Mailing address
5210 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3816
(803) 226-0275

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5648
SC

Other

Enumeration date
04/15/2013
Last updated
04/15/2013
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