Individual
DANIELLE LEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 E RAY FINE BLVD, ROLAND, OK 74954-5198
(918) 427-3344
(918) 427-3375
Mailing address
3406 NORTHVIEW DR, FORT SMITH, AR 72904-2529
(479) 252-1366
(479) 252-1366
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306277082
—
OK
Enumeration date
07/23/2020
Last updated
07/23/2020
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