Individual
KASSIDI B GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4276 SPRUCE ST APT 2, FORT WAINWRIGHT, AK 99703-1132
(815) 910-5274
Mailing address
4276 SPRUCE ST APT 2, FORT WAINWRIGHT, AK 99703-1132
(815) 910-5274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
200009
AK
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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