Individual
MARY GRACE D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752
(907) 442-7640
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
APC006172
GA
Other
Enumeration date
01/16/2018
Last updated
05/30/2024
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