DOUG MODIG

KOTZEBUE, AK
NPI1760783146
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-11-16
Last Update Date2010-11-16
Business Address
-- DOUG MODIG
722 2ND
KOTZEBUE, AK 99752-0256
Phone number: 907-442-7745
Mailing Address
-- DOUG MODIG
733 2ND
KOTZEBUE, AK 99752-0256
Phone number: 907-442-7745
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