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1073532552
SHELLY A WEDGE
PALMER, AK
NPI
1073532552
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Former Name
SHELLY A JACOBS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK PSYA411)
Enumeration Date
2006-07-18
Last Update Date
2019-03-28
Business Address
SHELLY A WEDGE L.P.A.
2250 S WOODWORTH LOOP STE 202
PALMER, AK 99645-7457
Phone number: 907-761-5800
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Mailing Address
SHELLY A WEDGE L.P.A.
PO BOX 4105
PORTLAND, OR 97208-4105
Phone number: 866-907-1068
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