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Individual

MILDRED SARAH GREIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
80 RIVER STREET, SELAWIK, AK 99770
(907) 484-2199
(907) 484-2119
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7640

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/26/2019
Last updated
04/26/2019
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