Individual
MARCIE SUNDLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 N TOM WATSON PL, WASILLA, AK 99623-4160
(907) 715-8202
Mailing address
1100 N TOM WATSON PL, WASILLA, AK 99623-4160
(907) 715-8202
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
10/19/2017
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