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Individual

BRENDA LEASK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7300 KLAWOCK HOLLIS HWY, KLAWOCK, AK 99925
(907) 755-4987
(907) 826-2103
Mailing address
PO BOX 272, KLAWOCK, AK 99925-0272
(907) 755-4987

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/28/2016
Last updated
11/28/2016
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