Individual
PAT ALTON TRUESDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
43335 KALIFORNSKY BEACH RD, SUITE 3B, SOLDOTNA, AK 99669-8260
(907) 260-3745
(907) 260-3746
Mailing address
PO BOX 1452, SOLDOTNA, AK 99669-1452
(907) 260-3745
(907) 260-3746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
728
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
728
LCSW LICENSE #
AK
Enumeration date
02/01/2007
Last updated
07/08/2007
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