Individual
ALAN LOUIS CIROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
829 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6008
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6100
(907) 543-6008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1068
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020968600
—
AK
01
—
800001335
MEDICARE ID -TYPE UNSPECIFIED
AK
Enumeration date
09/22/2006
Last updated
04/13/2011
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