Individual
CHARLOTTE ANN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5636 GLACIER HWY, STE 100, JUNEAU, AK 99801-9508
(907) 586-6838
(907) 586-8114
Mailing address
5636 GLACIER HWY STE 100, JUNEAU, AK 99801-9508
(907) 586-6838
(907) 586-8114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CMG974
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM0110
—
AK
Enumeration date
01/29/2009
Last updated
02/19/2010
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