Individual
BETH ANN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13947 S NEWBURG DR, HERRIMAN, UT 84096-6787
(385) 528-8335
Mailing address
13947 S NEWBURG DR, HERRIMAN, UT 84096-6787
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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