Individual
LIDA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFA, DSP, CESP
Contact information
Practice address
1064 BOURGOGNE AVE, BOWLING GREEN, OH 43402-1504
(419) 378-1976
Mailing address
1064 BOURGOGNE AVE, BOWLING GREEN, OH 43402-1504
(419) 378-1976
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
OH
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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