Individual
STEPHANIE LOCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4045 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5227
(907) 762-8654
Mailing address
210 SPRUCEPINE DR, RAEFORD, NC 28376-8454
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
P008429
NC
Other
Enumeration date
02/16/2015
Last updated
03/01/2016
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