Individual
HANNAH L T SHREVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3343 FAIRBANKS ST, ANCHORAGE, AK 99503-4145
(907) 793-7378
Mailing address
3343 FAIRBANKS ST, ANCHORAGE, AK 99503-4145
(907) 793-7378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-105275
AK
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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