Individual
TRACY FOLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
307 E NORTHERN LIGHTS BLVD STE 201, ANCHORAGE, AK 99503-2701
(907) 350-3209
Mailing address
PO BOX 242731, ANCHORAGE, AK 99524-2731
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1079
AK
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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