Individual
MS. SUSAN CELESTE UPDEGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
Mailing address
2150 S BAY VIEW DR, WASILLA, AK 99654-8522
(907) 355-4757
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
16
AK
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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