Individual
GARY LAVELLE KEMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW., LISW
Contact information
Practice address
673MDG, 5955 ZEAMER AVENUE, JBER, AK 99506
(907) 580-3205
Mailing address
673MDG, 5955 ZEAMER AVENUE, JBER, AK 99506
(907) 580-3205
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I.700501
AK
1041C0700X
Clinical Social Worker
Primary
I.700501
OH
1041C0700X
Clinical Social Worker
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2871101
—
OH
Enumeration date
10/20/2014
Last updated
08/23/2018
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