Individual
MS. SEVILLA INGERSOLL LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6501 TESHLAR DR, ANCHORAGE, AK 99507-2218
(907) 887-6269
(907) 887-6269
Mailing address
6501 TESHLAR DR, ANCHORAGE, AK 99507-2218
(907) 887-6269
(907) 887-6269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
AA702
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA702
STATE OF ALASKA
AK
05
—
DA4460
—
AK
05
—
MH4238
—
AK
Enumeration date
08/05/2007
Last updated
04/29/2021
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