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LISA A BASSON

Individual Provider (NPI-1) Active

Peer Specialist

Provider Information

NPI Number
1104629302
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
2650 E BROADVIEW AVE, WASILLA, AK, 996548302
Phone
(907) 313-1333

Specialties & Taxonomies

Peer Specialist Primary

All Addresses

LOCATION

2650 E BROADVIEW AVE

WASILLA, AK, 996548302

(907) 313-1333

MAILING

591 S KNIK GOOSE BAY RD

WASILLA, AK, 996548062

(907) 313-1333