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Individual

MRS. BETH ABISROR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
532 E 24TH AVE, A, ANCHORAGE, AK 99503-2208
(907) 929-0890
(907) 929-0890
Mailing address
532 E 24TH AVE, A, ANCHORAGE, AK 99503-2208
(907) 929-0890
(907) 929-0890

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
301
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SLP 35
SPEECH-LANGUAGE PATHOLOGIST LICENSE
AK
Enumeration date
07/24/2009
Last updated
02/14/2011
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