Individual
JOLIE CARLENE RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-4233
Mailing address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-4233
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1130
AK
Other
Enumeration date
02/27/2016
Last updated
02/27/2016
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