GREGORY WILLIAM PARKER

KODIAK, AK
NPI1609106368
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK  3652)
Enumeration Date2009-12-31
Last Update Date2009-12-31
Business Address
-- GREGORY WILLIAM PARKER CT
3439 REZANOFF DRIVE
KODIAK, AK 99615
Phone number: 907-286-2258
Mailing Address
-- GREGORY WILLIAM PARKER CT
PO BOX 4
OLD HARBOR, AK 99643-0004
Phone number: 907-286-2258
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