Individual
MRS. MADISON MCKENZIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
Mailing address
4118 BULLARD AVE UNIT C, ELMENDORF AFB, AK 99506-1420
(229) 251-3798
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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