Individual
MARIE ROSE FUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 DALTON STREET, PO BOX 90, HAINES, AK 99827
(907) 766-6389
Mailing address
PO BOX 446, HAINES, AK 99827-0446
(269) 419-4297
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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