Individual
BECKY SUE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12610 E FENCE LINE DR, PALMER, AK 99645-8149
(907) 795-7377
(844) 955-1818
Mailing address
12610 E FENCE LINE DR, PALMER, AK 99645-8149
(907) 795-7377
(844) 955-1818
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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