Individual
KATE MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 TONGASS AVE, KETCHIKAN, AK 99901
(907) 228-9203
Mailing address
2690 TONGASS AVE, KETCHIKAN, AK 99901
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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