Individual
MIRANDA LEATUTUFU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 DEBARR RD, SUITE 201-M, ANCHORAGE, AK 99508-3103
(907) 222-7300
Mailing address
4527 E 4TH AVE, ANCHORAGE, AK 99508-2216
(907) 360-9067
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/04/2023
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