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Laura Campbell

Behavior Technician in Gladwin, MI. Individual provider (NPI-1).

NPI number1104424928
StatusActive
Last updated in NPPESOct 14, 2020

Details

NPI
1104424928
Entity type
Individual (NPI-1)
Name
Laura Campbell
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 14, 2020
Certification date
Oct 14, 2020
Last updated
Oct 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1234 W Cedar Ave
Gladwin, MI 48624-1818

Phone 989-709-5413

Mailing address

1234 W Cedar Ave
Gladwin, MI 48624-1818

Phone 989-709-5413

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