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MS. VIOLET MARIE BURNHAM M.A.

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1891812228

Individual Registrant:
MS. VIOLET MARIE BURNHAM M.A.
Gender: F
Sole Proprietor

Location and contact information for practice:
400 BLACKBERRY LANE  KALTAG, AK 99748-0008 US
Tel: 907-534-2220  Fax: 907-534-2236

Contact information for business:
PO BOX 70  KALTAG, AK 99748-0070 US
Tel: 907-534-2220  Fax: 907-534-2236

Registration Information:
NPI: 1891812228
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health
AKM.A.

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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