Individual
MARCIE KOOKESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 RELAY RD, ANGOON, AK 99820-0725
(907) 788-4632
(907) 788-3180
Mailing address
PO BOX 290, ANGOON, AK 99820-0290
(907) 788-4632
(907) 788-3180
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AK
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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