Individual
TRACEE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
(307) 369-1410
Mailing address
246 MILLER LN STE 100, CHEYENNE, WY 82009-4104
(970) 729-0840
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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