Individual
MS. KIM SUSAN MIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 3RD ST, 213 3RD ST., JUNEAU, AK 99801-1220
(907) 586-8228
Mailing address
213 3RD ST, JUNEAU, AK 99801-1220
(907) 586-8228
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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