Individual
SELENAANN MILICANT KRISTINE GRISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
124 W SWANSON AVE, WASILLA, AK 99654-6822
(907) 671-2884
(907) 600-5102
Mailing address
7362 W PARKS HWY # 339, WASILLA, AK 99623-9300
(907) 671-2884
(907) 600-5102
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
179516
AK
Other
Enumeration date
06/04/2020
Last updated
04/27/2023
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