Individual
JACOB RODMAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 W COURT ST STE 8, PASCO, WA 99301-4178
(509) 545-6506
Mailing address
PO BOX 1452, PASCO, WA 99301-1452
(509) 547-2204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC60195206
WA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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