Individual
CAMDEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E BROADWAY AVE, JACKSON, WY 83001-8636
(307) 257-5487
Mailing address
PO BOX 11231, JACKSON, WY 83002-1231
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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