Individual
ALICE CHARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
970 6TH AVE, BETHEL, AK 99559-0652
(907) 543-4633
Mailing address
PO BOX 652, BETHEL, AK 99559-0652
(907) 543-4633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0150
—
AK
Enumeration date
04/27/2007
Last updated
03/22/2010
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