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Individual

BARBARA JOHNSON-TOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSW CDC I

Contact information

Practice address
2521 E MOUNTAIN VILLAGE DR STE F, WASILLA, AK 99654-7373
(907) 290-3760
Mailing address
1786 E NEIL CIR APT 1, WASILLA, AK 99654-8240
(907) 414-0191

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4398
AK

Other

Enumeration date
07/08/2019
Last updated
07/08/2019
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