Individual
MICHON WHITEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4130 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2875
(907) 729-5086
Mailing address
4130 SAN ERNESTO AVE, ANCHORAGE, AK 99508-2875
(907) 729-5086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
146959
AK
Other
Enumeration date
05/16/2019
Last updated
08/17/2024
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