Individual
MRS. ANNETTE CAMERON O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
110 TRADING BAY DR, SUITE 105, KENAI, AK 99611-7716
(907) 283-4300
(907) 283-4362
Mailing address
PO BOX 3187, KENAI, AK 99611-3187
(907) 283-4300
(907) 283-4362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
63
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP11532
—
AK
Enumeration date
02/13/2007
Last updated
06/13/2013
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