Individual
MS. LESLIE LAUREN BERBERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11921 E PALMER WASILLA HWY, PALMER, AK 99645-8833
(907) 745-2634
Mailing address
PO BOX 874583, WASILLA, AK 99687-4583
(907) 521-2101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105341
AK
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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