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Individual

DR. NICOLE LEVAILLANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
BUILDING 786 D STREET, ANCHORAGE, AK 99505
(408) 636-6036
Mailing address
PO BOX 9, SAN CARLOS, CA 94070-0009
(408) 636-6036

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24045
CA

Other

Enumeration date
01/17/2011
Last updated
10/22/2019
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