Organization
LEAP INC
Active
Other names
LEAP A/V Program
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HAY LCSW, MFA (EXECUTIVE DIRECTOR)
(907) 452-2473
Entity
Organization
Contact information
Practice address
600 UNIVERSITY AVE STE 3, FAIRBANKS, AK 99709-3651
(907) 452-2473
Mailing address
600 UNIVERSITY AVE SUITE 3, MAIL: PO BOX 82842, FAIRBANKS, AK 99708-2842
(907) 452-2473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
921
AK
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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