Individual
MS. STACY MARIE BRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
8021 CLEAR HAVEN CIR, ANCHORAGE, AK 99507-3272
(907) 349-8157
(907) 222-1336
Mailing address
PO BOX 231724, ANCHORAGE, AK 99523-1724
(907) 349-8157
(907) 222-1336
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
746362
AK
251B00000X
Case Management Agency
746362
AK
Other
Enumeration date
12/19/2007
Last updated
08/20/2008
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