Individual
BENNETT EUGENE CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD STE 3, EAGLE RIVER, AK 99577-7824
(907) 726-5330
Mailing address
PO BOX 670886, CHUGIAK, AK 99567-0886
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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