Individual
MRS. LESLIE RAE TESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621
Mailing address
2800 HORSESHOE WAY, NORTH POLE, AK 99705-6121
(907) 488-1017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
11511
AK
Other
Enumeration date
06/24/2008
Last updated
12/12/2022
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