Individual
MARGIE REGINA MCCLURKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33820 BEAR LAKE RD, SEWARD, AK 99664
(540) 257-3044
Mailing address
PO BOX 1802, SEWARD, AK 99664-1802
(540) 257-3044
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X-BEHAVIOR
—
AK
Enumeration date
08/23/2021
Last updated
08/23/2021
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