Individual
DAVIS DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 CHURCH STREET, WRANGELL, AK 99929
(907) 874-5000
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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