Individual
DANIELLE DESROCHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
Mailing address
409 SHANNON DR, FAIRBANKS, AK 99701-3292
(907) 347-3648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
240265
AK
104100000X
Social Worker
240755
AK
172V00000X
Community Health Worker
Primary
240265
AK
172V00000X
Community Health Worker
240755
AK
Other
Enumeration date
06/27/2025
Last updated
08/14/2025
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