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1215570742
LORETTA SUE MASON
ANCHORAGE, AK
NPI
1215570742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
LORETTA SUE MASON CDC I
3001 C ST
ANCHORAGE, AK 99503-3913
Phone number: 907-273-4008
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Mailing Address
LORETTA SUE MASON CDC I
911 N RAINBOW PARK DR
WASILLA, AK 99623-9240
Phone number:
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