Individual
HANNAH MADISEN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001
(307) 514-0215
Mailing address
3120 OLD FAITHFUL RD STE 100, CHEYENNE, WY 82001-5890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WY
Other
Enumeration date
02/08/2021
Last updated
03/11/2022
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