Glen A Fazakerley, CDCI
Glen A Fazakerley, CDCI is a Case Manager/Care Coordinator in Ketchikan, Alaska. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
201 Deermount StKetchikan, AK 99901-6649
Phone: (907) 225-7825
Fax: (907) 225-1541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1306142781 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCI |
| Sole proprietor | No |
| NPI enumerated | February 2, 2011 |
| Last updated in NPPES | July 12, 2011 |
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