Individual
SAMANTHA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
393 LYNX DR, WEST UNION, OH 45693-9792
(937) 690-9836
Mailing address
393 LYNX DR, WEST UNION, OH 45693-9792
(937) 690-9836
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0003040
OH
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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