Individual
NICOLE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6620 CARPENTER RD SE, LACEY, WA 98503-2475
(408) 421-2485
Mailing address
3008 LORNE ST SE, OLYMPIA, WA 98501-3463
(408) 421-2485
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61332048
WA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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