Individual
SCOTT ADAM CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 AUTUMN GLO TER, SEVERN, MD 21144-2538
(443) 734-8757
Mailing address
1802 AUTUMN GLO TER, SEVERN, MD 21144-2538
(443) 734-8757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
MD10273434153
MD
171M00000X
Case Manager/Care Coordinator
Primary
MD10273434153
MD
Other
Enumeration date
03/13/2023
Last updated
07/21/2023
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