Individual
MRS. TERRYA ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
320 S SPRUCE ST, KENAI, AK 99611-7939
(907) 283-7635
(907) 283-9575
Mailing address
320 S SPRUCE ST, KENAI, AK 99611-7939
(907) 283-7635
(907) 283-9575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041CO700X
AK
1041C0700X
Clinical Social Worker
802
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952440570
—
AK
Enumeration date
04/01/2008
Last updated
04/01/2008
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