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Individual

ALICE SCOUT WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
17639 TEDROW DR, EAGLE RIVER, AK 99577-8215
(907) 242-9442
Mailing address
17639 TEDROW DR, EAGLE RIVER, AK 99577-8215
(907) 242-9442

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
FORTHCOMING
AK

Other

Enumeration date
06/06/2019
Last updated
06/06/2019
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