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1033322029
LAVONNE HARRIS
KOTZEBUE, AK
NPI
1033322029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
-- LAVONNE HARRIS
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752-0436
Phone number: 907-442-7640
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Mailing Address
-- LAVONNE HARRIS
436 5TH STREET TED STEVENS WAY
KOTZEBUE, AK 99752-0436
Phone number: 907-442-7640
Copy
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