Individual
GRACIE RENEE CLEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 RAILWAY AVE, SEWARD, AK 99664
(907) 224-5257
(907) 224-7081
Mailing address
302 RAILWAY AVE, SEWARD, AK 99664-0112
(907) 224-5257
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1708629
—
AK
Enumeration date
07/24/2020
Last updated
11/25/2024
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