Individual
BRITTANY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD,CLC, TM
Contact information
Practice address
8 CHURCH ST, FERGUSON, MO 63135-2409
(314) 643-7703
(314) 736-5550
Mailing address
100 N DADE AVE, FERGUSON, MO 63135-1824
(314) 536-1604
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
MO
176B00000X
Midwife
Primary
—
—
374J00000X
Doula
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1120
DOB
—
Enumeration date
07/16/2018
Last updated
08/12/2019
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