Individual
ELIZABETH WALLMANN-FILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 365-1000
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 365-1000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
119510
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305
STATE OF ALASKA BUSINESS LICENSE
AK
Enumeration date
08/22/2014
Last updated
08/11/2020
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