Individual
JUDY ESTHER DATTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7000 UULA STREET, BARROW, AK 99723
(907) 852-9154
Mailing address
2224 GLACIER ST APT 301, ANCHORAGE, AK 99508-3757
(754) 214-1908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128798
AK
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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