Most Relevant Information
Provider Data
| NPI Number: | 1003684036 |
| Provider Name: | ELIZABETH MCMILLEN CAMPBELL |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 4393 |
Most Important Dates
| Enumeration Date: | 12/19/2023 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
6381 OSGOOD AVE N BLDG C
STILLWATER
MN
550826118
Practice Location Phone/Fax
| Phone: | 6122174569 |
| Fax: | 6513834544 |
Provider Mailing Location
6381 OSGOOD AVE N BLDG C
STILLWATER
MN
550826118
Provider Mailing Phone/Fax
| Phone: | 6122174569 |
| Fax: | 6513834544 |