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1659104271
CLAY RUSSELL CAMPBELL
FORT WORTH, TX
NPI
1659104271
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: TX 70989)
Enumeration Date
2024-08-20
Last Update Date
2024-08-20
Business Address
CLAY RUSSELL CAMPBELL LSSP
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
CLAY RUSSELL CAMPBELL LSSP
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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