Individual
DR. SUSAN MARY FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1230 OCEAN DR STE 1, HOMER, AK 99603-7911
(907) 235-8319
(907) 235-8099
Mailing address
PO BOX 2352, HOMER, AK 99603-2352
(907) 399-2449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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