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1235911397
GWENDOLYNN STACY CHICKALUSION
HOMER, AK
NPI
1235911397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 5068)
Enumeration Date
2023-10-13
Last Update Date
2023-10-13
Business Address
GWENDOLYNN STACY CHICKALUSION Counselor Technician
1230 OCEAN DR STE 1
HOMER, AK 99603-7911
Phone number: 907-235-8319
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Mailing Address
GWENDOLYNN STACY CHICKALUSION Counselor Technician
PO BOX 2352
HOMER, AK 99603-2352
Phone number: 907-235-8001
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