Individual
TARA LOR CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC, SCL
Contact information
Practice address
PO BOX 871942, CANTON, MI 48187-7642
(719) 650-7344
Mailing address
700 BARRON RD, ORTONVILLE, MI 48462-8428
(719) 650-7344
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451023478
MI
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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