Individual
LESLIE WILLENBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 E 4TH AVE, ANCHORAGE, AK 99501-2716
(907) 762-8664
Mailing address
3728 TERRACE DR, ANCHORAGE, AK 99502-2839
(907) 762-8664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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