Individual
CAROL TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49840 EIDER DR, KENAI, AK 99611-6431
(907) 283-3023
Mailing address
49840 EIDER DR, KENAI, AK 99611-6431
(907) 283-3023
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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