NPI 1124248455 · live from the CMS NPI Registry
Julia Bragg
Social Worker, Clinical in Bethel, AK. National Provider Identifier 1124248455, active.
NPI record
| NPI | 1124248455 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 |
| Practice phone | 907-543-6100 |
| Mailing address | Po Box 528, Bethel, AK 99559 |
| Enumerated | April 27, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.