Individual
DANIELLE LEA LARSGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDC 1, BHA 2
Contact information
Practice address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 562-4155
Mailing address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 562-4155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3915
AK
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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