Individual
DR. LAWRENCE JESS MAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3700 PIPER ST, ANCHORAGE, AK 99508-4665
(907) 269-7168
Mailing address
1120 HUFFMAN RD, SUITE 24, #579, ANCHORAGE, AK 99515-3516
(907) 632-1838
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
392
AK
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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