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Individual

MICHELLE CAMPBELL

Active
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Individual

MICHELLE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP, BCBA

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-10-7216
TX
235Z00000X
Speech-Language Pathologist
Primary
17279
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214308301
—
TX
01
—
80S906
BCBS
TX
Enumeration date
08/23/2010
Last updated
03/02/2012
About Stedi
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