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Stacy Taylor

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

NPI number1750737292
StatusActive
Last updated in NPPESMay 13, 2016

Details

NPI
1750737292
Entity type
Individual (NPI-1)
Name
Stacy Taylor
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2016
Last updated
May 13, 2016

Taxonomy and licenses

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

Practice location

460 Ridgecrest Drive
Suite 209
Bethel, AK 99559-0528

Phone 907-543-1777 · Fax 907-543-1276

Mailing address

Po Box 528
Attn: Bh Fit Program
Bethel, AK 99559-0528

Phone 907-543-1777

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