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Individual

LORAE M GUDGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MPSY, CMA

Contact information

Practice address
121 W FIREWEED LN STE 105, ANCHORAGE, AK 99503-2044
(907) 865-9663
Mailing address
121 W FIREWEED LN STE 105, ANCHORAGE, AK 99503-2044
(907) 865-9663

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
12/20/2018
Last updated
12/20/2018
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