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Individual

MARIAH CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134-2028
(405) 838-1994
Mailing address
2301 NW 122ND ST APT 1901, OKLAHOMA CITY, OK 73120-8452

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/14/2022
Last updated
09/14/2022
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