Individual
MR. GARY M WEGLARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2770 SHERWOOD LN, SUITE 2-C, JUNEAU, AK 99801-8545
(907) 321-7852
Mailing address
PO BOX 210536, AUKE BAY, AK 99821-0536
(907) 789-0146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
900-LCSW
AK
Other
Enumeration date
06/24/2009
Last updated
09/05/2013
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