Individual
SUSAN OHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 NORTH NORDIC DRIVE, PETERSBURG, AK 99833-1309
(907) 772-3332
Mailing address
PO BOX 1309, PETERSBURG, AK 99833-1309
(907) 772-3332
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
295
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH1413
—
AK
Enumeration date
06/16/2008
Last updated
06/16/2008
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