Individual
KRISTEN GRACE MCKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4320 DIPLOMACY DR, ANCHORAGE, AK 99508-5925
(907) 729-8825
(907) 729-6154
Mailing address
4320 DIPLOMACY DR STE 2300, ANCHORAGE, AK 99508-5925
(907) 322-8842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149475
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149475
LCSW IN ALASKA
AK
Enumeration date
03/24/2020
Last updated
03/24/2020
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