Individual
MRS. SHADA MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1456 HOLTON ST, SAINT PAUL, MN 55108-2324
(949) 466-2287
Mailing address
1456 HOLTON ST, SAINT PAUL, MN 55108-2324
(949) 466-2287
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9226
MN
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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