Individual
MAGHEE ELOISE ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 521-0890
Mailing address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 521-0890
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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