NPI 1073723508

Marvin Poyourow, DCSWLCSW

Practitioner Clinical Social Worker Nome, AK

Practice location

Address: 306 W 5th Ave, Nome, AK 99762
Phone: (907) 443-3344
Mailing address: PO Box 966, Nome, AK 99762-0966

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence AA88 (AK)

Other Social Worker providers in Alaska →

Registry record

NPI: 1073723508
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.