Individual
MARK PULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER (LCSW)
Contact information
Practice address
2630 CENTRAL AVE # 3349, EIELSON AFB, AK 99702-2301
(907) 377-1847
Mailing address
2630 CENTRAL AVE # 3349, EIELSON AFB, AK 99702-2301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19311
FL
Other
Enumeration date
03/30/2020
Last updated
09/05/2024
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