Individual
MICHELLE LESAGONICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 260-7300
(907) 260-7301
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 260-7300
(907) 260-7301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108948
AK
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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