Individual
SHANNON CLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3431 SHAMROCK ST, ANCHORAGE, AK 99504-4244
(907) 771-5990
Mailing address
3431 SHAMROCK ST, ANCHORAGE, AK 99504-4244
(907) 771-5990
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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