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Individual

MS. ANGELA LOUISE BOWLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9800
(907) 486-9898
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9800
(907) 486-9898

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1679514236
AK
Enumeration date
03/15/2011
Last updated
03/15/2011
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