Individual
KATHERINE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5244 WYOMING BLVD NE APT E8, ALBUQUERQUE, NM 87111-2005
(319) 540-4687
Mailing address
2402 D AVE NE, CEDAR RAPIDS, IA 52402-4923
(319) 540-4687
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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