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1114571858
SCOTT ALEN KOTULAK
ANCHORAGE, AK
NPI
1114571858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2019-07-31
Last Update Date
2019-07-31
Business Address
SCOTT ALEN KOTULAK BA in psychology
1650 BRAGAW ST
ANCHORAGE, AK 99508-3435
Phone number: 907-258-7575
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Mailing Address
SCOTT ALEN KOTULAK BA in psychology
11351 DISCOVERY VIEW DR APT 102A
ANCHORAGE, AK 99515-2753
Phone number:
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