Lashae Campbell

NPI #1629531561 in Bolingbrook, Illinois

Provider Information

NPI Number
1629531561
Entity Type
Individual
Name
Lashae Campbell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Apr 8, 2019
Last Updated
Apr 8, 2019

Practice Location

Address
3 WILDWOOD LANE G
ZIP Code
60440-1942
Phone
(708) 916-1128

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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