Individual
LACEY KVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12350 INDUSTRY WAY STE 202, ANCHORAGE, AK 99515-4301
(907) 301-4588
Mailing address
12350 INDUSTRY WAY STE 202, ANCHORAGE, AK 99515-4301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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