Organization
STONE SOUP GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN F. CASWELL (EXECUTIVE DIRECTOR)
(907) 561-3701
Entity
Organization
Contact information
Practice address
3350 COMMERCIAL DR, SUITE 100, ANCHORAGE, AK 99501-3023
(907) 561-3701
(907) 561-3702
Mailing address
3350 COMMERCIAL DR, SUITE 100, ANCHORAGE, AK 99501-3023
(907) 561-3701
(907) 561-3702
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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