Individual
MIRANDA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105
(605) 336-3230
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
345357
WI
Other
Enumeration date
02/13/2017
Last updated
08/23/2018
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