Individual
ALEXIS BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4330 ELMORE RD, ANCHORAGE, AK 99508-5907
(907) 729-5417
Mailing address
5624 TUDOR SQUARE CT, ANCHORAGE, AK 99504-5305
(907) 729-5417
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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