Individual
MR. BRYCE LOWELL VEAZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5858
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1995
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18642
BLUE CROSS BLUE SHIELD
ND
05
—
19126
—
ND
Enumeration date
09/26/2006
Last updated
10/09/2024
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