Individual
AMY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E TUDOR RD STE 9, ANCHORAGE, AK 99507-1036
(907) 332-0065
(907) 290-3261
Mailing address
1515 E TUDOR RD STE 9, ANCHORAGE, AK 99507-1036
(907) 332-0065
(907) 290-3261
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CERT.
AK
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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