Individual
ERIN LIGHTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
717 REZANOF DR E, KODIAK, AK 99615-6416
(907) 481-2400
Mailing address
717 REZANOF DR E, KODIAK, AK 99615-6416
(916) 316-0091
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27332
AK
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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