Individual
TRACI CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 FRANK ST, STAFFORDSVILLE, KY 41256-9098
(606) 791-7682
Mailing address
109 FRANK ST, STAFFORDSVILLE, KY 41256-9098
(606) 791-7682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
287521
KY
Other
Enumeration date
05/26/2007
Last updated
10/03/2023
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