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Contact Information

TESS DALLY
3691 BEN WALTERS LN
HOMER, AK99603-7750
 Phone: 907-235-6152
 Fax: 907-235-6158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for TESS DALLY · (Female)

NPI # 1396991493
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2008
Last updated 08/08/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 379
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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