Individual
MARY ANN SEPPILU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 WEST 5TH AVENUE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-5915
Mailing address
306 WEST 5TH AVENUE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-5915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
09-1028-IV
AK
Other
Enumeration date
08/13/2010
Last updated
01/11/2012
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