Individual
JESSICA CORINNE MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 N CRUSEY ST STE B108, WASILLA, AK 99654-7101
(907) 414-9554
Mailing address
1202 W 41ST AVE, ANCHORAGE, AK 99503-6510
(907) 854-2107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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