Individual
DARLA ROUNDTREE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
673 MDG, 5955 ZEAMER QAVE, JBER, AK 99506
(907) 580-2181
Mailing address
673 MDG, 5955 ZEAMER AVE, JBER, AK 99506
(075) 802-1819
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6470
TN
Other
Enumeration date
11/09/2020
Last updated
10/25/2023
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