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Individual

MS. JULIA A PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
546 HEMLOCK ST, JUNEAU, AK 99801-1435
(907) 723-6305
Mailing address
546 HEMLOCK ST, JUNEAU, AK 99801-1435
(907) 723-6305

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0170
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SP0170
SLP LICENSE #
AK
05
SP01701
AK
Enumeration date
12/07/2006
Last updated
07/08/2007
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