Individual
GIAH LAUREN CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7035 BERKSHIRE LN, SHAKOPEE, MN 55379-8052
(323) 877-3341
Mailing address
7035 BERKSHIRE LN, SHAKOPEE, MN 55379-8052
(612) 470-3408
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
135946700020
MN
172V00000X
Community Health Worker
Primary
8589503
MN
Other
Enumeration date
12/29/2022
Last updated
02/21/2023
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