Individual
JACQUELINE KOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4900 E PALMER WASILLA HWY STE 4, WASILLA, AK 99654-7752
(907) 376-6930
(907) 357-6903
Mailing address
4900 E PALMER WASILLA HWY STE 4, WASILLA, AK 99654-7752
(907) 376-6930
(907) 357-6903
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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