Individual
JACQUELINE DAWN BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
215 FIDALGO AVE, SUITE 104, KENAI, AK 99611-7751
(907) 335-4466
(907) 335-4467
Mailing address
47294 PROGRESS CT, STE C, SOLDOTNA, AK 99669-8322
(907) 262-4470
(907) 262-4467
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
561
AK
Other
Enumeration date
06/01/2006
Last updated
05/03/2016
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