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Individual

ANTOINETTE CHILDRESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6225 E TUDOR RD, ANCHORAGE, AK 99507-1250
(907) 575-1585
Mailing address
1205 E INTERNATIONAL AIRPORT RD STE 101, ANCHORAGE, AK 99518-1409
(907) 575-1585

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
179636
AK
101YP2500X
Professional Counselor

Other

Enumeration date
02/01/2022
Last updated
04/12/2023
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