IDA SWAN

KOTZEBUE, AK
NPI1871836361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-04-03
Last Update Date2013-04-03
Business Address
-- IDA SWAN
733 2ND AVE
KOTZEBUE, AK 99752-0256
Phone number: 907-442-7640
Mailing Address
-- IDA SWAN
733 2ND AVE
KOTZEBUE, AK 99752-0256
Phone number:
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