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1124632419
SYDNEY GRISHAM
WASILLA, AK
NPI
1124632419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-09-03
Last Update Date
2023-10-05
Business Address
SYDNEY GRISHAM
7010 E BOGARD RD
WASILLA, AK 99654-4711
Phone number: 907-373-4732
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Mailing Address
SYDNEY GRISHAM
2521 E MOUNTAIN VILLAGE DR STE B
WASILLA, AK 99654-7377
Phone number: 907-521-8144
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