SUSAN B GAINES

KODIAK, AK
NPI1487106605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  2427)
Enumeration Date2016-11-04
Last Update Date2016-11-04
Business Address
-- SUSAN B GAINES LCDC
3449 REZANOF DRIVE EAST
KODIAK, AK 99615
Phone number: 907-486-9800
Mailing Address
-- SUSAN B GAINES LCDC
3449 REZANOF DRIVE EAST
KODIAK, AK 99615
Phone number: 907-486-9800
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