Individual
DEMIA DUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
164 RUSTY ALLEN PL, ANCHORAGE, AK 99504-4879
(530) 635-0860
Mailing address
164 RUSTY ALLEN PL, ANCHORAGE, AK 99504-4879
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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