Most Relevant Information
Provider Data
| NPI Number: | 1003180753 |
| Provider Name: | PATRICE LOUISE CAMPBELL |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/28/2012 |
| Last Updated: | 02/28/2012 |
Provider Practice Location
3010 GRAND AVE
WAUKEGAN
IL
600852321
Practice Location Phone/Fax
| Phone: | 8473778120 |
| Fax: | 8479845689 |
Provider Mailing Location
3010 GRAND AVE
WAUKEGAN
IL
600852321
Provider Mailing Phone/Fax
| Phone: | 8473778120 |
| Fax: | 8479845689 |