Individual
CHARLOTTE MICHELLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 376-2411
Mailing address
PO BOX 877568, WASILLA, AK 99687-7568
(907) 317-5881
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
AK
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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