Individual
MS. KAREN L. KOHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. C. S. W.
Contact information
Practice address
605 HUGHES AVE, FAIRBANKS, AK 99701-7539
(907) 479-0673
(907) 479-0683
Mailing address
PO BOX 73233, FAIRBANKS, AK 99707-3233
(907) 479-0673
(907) 479-0863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW 230
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L. C. S. W. NO. 230
CLINICAL SOCIAL WORK
AK
Enumeration date
03/27/2007
Last updated
07/08/2007
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