Individual
HAWA SITAHA TANDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5411 MOCKINGBIRD DR APT 315, ANCHORAGE, AK 99507-1690
(202) 417-7626
Mailing address
PROVIDENCE HEALTH SYSTEMS BREAKTHROUGH, 3760 PIPER STREET, ANCHORAGE, AK 99508
(907) 212-6972
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
158419
AK
104100000X
Social Worker
25448
MD
1041C0700X
Clinical Social Worker
158419
AK
1041C0700X
Clinical Social Worker
25448
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16103950
CAQH
—
Enumeration date
03/01/2021
Last updated
01/09/2024
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