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Individual

JULIA RACHEL HAGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCAT

Contact information

Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577
(907) 726-5330
Mailing address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
12/11/2017
Last updated
12/11/2017
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