Individual
MRS. KAYTLIN ERIN RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CDC I, RPT
Contact information
Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9800
(907) 486-9898
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9800
(907) 486-9898
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
130025
AK
Other
Enumeration date
04/09/2014
Last updated
04/13/2023
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