Individual
ANGELA RENAE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
100 CUSHMAN ST STE 308, FAIRBANKS, AK 99701-4673
(907) 318-5686
(907) 917-4166
Mailing address
100 CUSHMAN ST STE 308, FAIRBANKS, AK 99701-4673
(907) 318-5686
(907) 917-4166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
155664
AK
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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