Provider Information for 1528602018
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Mrs. TIFFANY M CAMPBELL LPC
Sex: Female
NPI: 1528602018
Last Updated: 2022-08-22
Certification Date: 2022-08-22
Certification Date: 2022-08-22
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1528602018 | ||||||||
| Enumeration Date | 2019-10-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 186 HOSPITAL DR GRANTSVILLE, WV 26147-7100 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 186 HOSPITAL DR GRANTSVILLE, WV 26147-7100 United States Phone: 304-354-9244 | Fax: | ||||||||
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