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Individual

MARIANA IVANOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2211 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4129
(907) 279-8486
(907) 677-5614
Mailing address
2211 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4129
(907) 279-8486
(907) 677-5614

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
116085
AK

Other

Enumeration date
11/23/2016
Last updated
11/23/2016
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