Individual
JOHN HISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
350 14TH AVE, SKAGWAY, AK 99840
(907) 983-2548
Mailing address
PO BOX 493, SKAGWAY, AK 99840-0493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
913
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0507
—
AK
Enumeration date
06/07/2012
Last updated
06/07/2012
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