Tina Mccluskey

NPI #1124544523 in Talkeetna, Alaska

Provider Information

NPI Number: 1124544523
Entity Type: Individual
Name: Tina Mccluskey
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 17, 2017
Last Updated: Aug 17, 2017

Practice Location

Address: 19205 E FUTURE RD
City: Talkeetna
State: Alaska
ZIP Code: 99676
Phone: (907) 354-3441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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