JERRY DWYANE SHOUGH

ANCHORAGE, AK
NPI1295341428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-09-22
Last Update Date2020-09-22
Business Address
JERRY DWYANE SHOUGH
1709 BRAGAW ST
ANCHORAGE, AK 99508-3436
Phone number: 907-562-5340
Mailing Address
JERRY DWYANE SHOUGH
2720 DERBY WAY
ANCHORAGE, AK 99504-3231
Phone number: 907-223-2665
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