Individual
LEA DAWN EVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
982 LAKLOEY DR, NORTH POLE, AK 99705-5356
(907) 978-8308
Mailing address
982 LAKLOEY DR, NORTH POLE, AK 99705-5356
(907) 978-8308
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
18
AK
Other
Enumeration date
11/14/2007
Last updated
11/04/2008
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