Individual
SUSAN STEWART PHILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED. M.
Contact information
Practice address
717 E REZANOF DR, KODIAK, AK 99615-6416
(907) 481-2400
(907) 481-2419
Mailing address
414 MISSION RD, KODIAK, AK 99615-6329
(907) 486-7688
(907) 486-7687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
677
AK
Other
Enumeration date
03/24/2007
Last updated
03/18/2011
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