Individual
MARY S GRASMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1981 E PALMER WASILLA HWY STE 200, WASILLA, AK 99654-7287
(907) 802-2493
Mailing address
1981 E PALMER WASILLA HWY STE 200, WASILLA, AK 99654-7287
(907) 802-2493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10467
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L10467
LCSW LICENSE
OR
Enumeration date
07/06/2021
Last updated
10/13/2023
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