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Individual

VICTORIA ANN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, NCC, CDC I

Contact information

Practice address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 252-3343
Mailing address
PO BOX 1947, KENAI, AK 99611-1947
(907) 252-3343

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/13/2019
Last updated
09/13/2019
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