Individual
MR. MOHAMED ZIAUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
324 RADIO STREET, ATTN: BH PATC PROGRAM, BETHEL, AK 99559-0528
(907) 543-6730
(907) 543-6712
Mailing address
PO BOX 528, ATTN: BH PATC PROGRAM, BETHEL, AK 99559-0528
(907) 543-6730
(907) 543-6712
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1196
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
11/09/2006
Last updated
07/14/2014
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