Individual
CASEY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5617 SCARLET OAK RD, JEFFERSONVILLE, IN 47130-7743
(812) 697-0278
Mailing address
5617 SCARLET OAK RD, JEFFERSONVILLE, IN 47130-7743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005233A
IN
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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