Individual
CORISSA ANNE HENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3001 C ST, ANCHORAGE, AK 99503-3913
(907) 201-5670
Mailing address
10300 LONE TREE DR, ANCHORAGE, AK 99507-6920
(512) 771-5604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
209097
AK
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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