Individual
MS. GRACE KATHRYN WILSON-LAUDUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
6422 E 10TH AVE, ANCHORAGE, AK 99504-1785
(907) 929-8326
(907) 929-8326
Mailing address
6422 E 10TH AVE, ANCHORAGE, AK 99504-1785
(907) 929-8326
(907) 929-8326
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM95541
—
AK
Enumeration date
03/12/2007
Last updated
10/18/2007
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