Individual
SHANNON P CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
18 OXFORD ST, WORCESTER, MA 01609-2070
(508) 443-0018
Mailing address
6 MCINTYRE RD APT 5, NORTH OXFORD, MA 01537-1203
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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