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Kisa N Haywood

Peer Specialist in Anchorage, AK. Individual provider (NPI-1).

NPI number1962043992
StatusActive
Last updated in NPPESOct 1, 2019

Details

NPI
1962043992
Entity type
Individual (NPI-1)
Name
Kisa N Haywood
Sex
Female
Sole proprietor
No
Enumeration date
Oct 1, 2019
Last updated
Oct 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1231 Gambell St Ste 300
Anchorage, AK 99501-4664

Phone 907-333-4343 · Fax 907-333-4383

Mailing address

1231 Gambell St Ste 300
Anchorage, AK 99501-4664

Phone 907-333-4343 · Fax 907-333-4383

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