Individual
MS. ERYS KATHERINE TEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
215 FIDALGO AVENUE, SUITE 204 C, KENAI, AK 99611
(907) 283-6551
(907) 283-6553
Mailing address
P.O. BOX 288, KENAI, AK 99611
(907) 283-6551
(907) 283-6553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
196
AK
Other
Enumeration date
02/02/2007
Last updated
01/02/2013
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