Individual
LAURA BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4000 AMBASSADOR DR, ANCHORAGE, AK 99508-5909
(907) 729-4594
(907) 729-2924
Mailing address
18627 MAN O WAR RD, EAGLE RIVER, AK 99577-8336
(907) 696-6312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0150
—
AK
Enumeration date
08/24/2007
Last updated
02/04/2013
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