AMANDA PAULETTE GANNON

KETCHIKAN, AK
NPI1285234419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AK  215055)
Additional Taxonomies104100000X Social Worker
(Licence: AK  215055)
Enumeration Date2020-10-27
Last Update Date2024-08-01
Business Address
AMANDA PAULETTE GANNON LMSW
344 FRONT ST STE A
KETCHIKAN, AK 99901-6431
Phone number: 572-999-0107
Mailing Address
AMANDA PAULETTE GANNON LMSW
PO BOX 519
WARD COVE, AK 99928-0519
Phone number: 907-204-0874