Individual
AMANA MBISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
1577 C ST STE 201, ANCHORAGE, AK 99501-5164
(907) 538-9958
(907) 865-2433
Mailing address
1577 C ST STE 201, ANCHORAGE, AK 99501-5164
(907) 538-9958
(907) 865-2433
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
210462
AK
Other
Enumeration date
06/20/2024
Last updated
06/27/2024
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