MARIA MARIANE LARSON

BETHEL, AK
NPI1720427503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-06-14
Last Update Date2013-06-14
Business Address
-- MARIA MARIANE LARSON
829 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Phone number: 907-543-6100
Mailing Address
-- MARIA MARIANE LARSON
PO BOX 528
BETHEL, AK 99559-0528
Phone number: 907-543-6100
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