Individual
MASHELLA DWYNTWAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 DESOTO AVE, CLARKSDALE, MS 38614-4420
(662) 719-1601
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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