Individual
ERICA LYNN NARDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2935 S KOBUK AVE, FAIRBANKS, AK 99709-5127
(907) 699-7907
Mailing address
2935 S KOBUK AVE, FAIRBANKS, AK 99709-5127
(907) 699-7907
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
184552
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2771
—
AK
Enumeration date
10/01/2019
Last updated
04/26/2024
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