ELMER WALLER

KOTZEBUE, AK
NPI1013152800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-12-08
Last Update Date2008-12-08
Business Address
Mr. ELMER WALLER
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Phone number: 907-442-7640
Mailing Address
Mr. ELMER WALLER
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752
Phone number: 907-442-7640
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