Individual
MONIQUE S WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9301 GLACIER HWY STE 100, JUNEAU, AK 99801-9380
(907) 523-3507
(907) 463-3605
Mailing address
540 W INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1105
(907) 561-5335
(907) 564-7495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CM4242
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM4242
—
AK
Enumeration date
05/07/2007
Last updated
01/24/2012
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