Laura Campbell

NPI #1104424928 in Gladwin, Michigan

Provider Information

NPI Number: 1104424928
Entity Type: Individual
Name: Laura Campbell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 1234 W CEDAR AVE
City: Gladwin
State: Michigan
ZIP Code: 48624-1818
Phone: (989) 709-5413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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