Individual
MRS. MARY K. BROCKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
436 5TH ST.TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7400
(907) 442-7306
Mailing address
436 5TH ST.TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-7400
(907) 442-7306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
357
AK
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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