Individual
JESSICA MARIE BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
733 SECOND AVE, KOTZEBUE, AK 99752
(907) 442-7640
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7640
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
147772
AK
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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