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Margaret Kavanaugh

Case Manager/Care Coordinator in Kodiak, AK. Individual provider (NPI-1).

NPI number1124335757
StatusActive
Last updated in NPPESSep 2, 2010

Details

NPI
1124335757
Entity type
Individual (NPI-1)
Name
Margaret Kavanaugh
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2010
Last updated
Sep 2, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3449 E Rezanof Dr
Infant Learning Program
Kodiak, AK 99615-6952

Phone 907-486-1374 · Fax 907-486-4829

Mailing address

3449 E Rezanof Dr
Infant Learning Program
Kodiak, AK 99615-6952

Phone 907-486-1374 · Fax 907-486-4829

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