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ALICE CHARLTON

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1821218157

Individual Registrant:
 ALICE  CHARLTON 
Gender: F
Sole Proprietor

Location and contact information for practice:
970 6TH AVE  BETHEL, AK 99559-0652 US
Tel: 907-543-4633  Fax: --

Contact information for business:
PO BOX 652  BETHEL, AK 99559-0652 US
Tel: 907-543-4633  Fax: --

Registration Information:
NPI: 1821218157
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MH0150AK05




HEALTH CARE JOBS AK - Page 1



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