Individual
SHIRLEY GOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 RAILWAY AVE, SEWAD, AK 99664
(907) 224-5257
Mailing address
PO BOX 1045, SEWARD, AK 99664-1045
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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