Individual
CARA ANN LECKWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. CCC SLP
Contact information
Practice address
4325 LAUREL ST STE 100, ANCHORAGE, AK 99508-5364
(907) 561-8775
(907) 561-8775
Mailing address
4325 LAUREL ST STE 100, ANCHORAGE, AK 99508-5364
(907) 561-8775
(907) 561-8775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP3614
—
AK
Enumeration date
03/05/2007
Last updated
07/08/2007
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