Individual
LORI CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 E WALNUT ST, ELLINGTON, MO 63638-7943
(573) 663-2644
Mailing address
925 HIGHWAY VV, KENNETT, MO 63857
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
02/14/2025
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