Individual
BROOK CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13424 ALPWEG, ANCHORAGE, AK 99516-6974
(907) 345-9400
Mailing address
PO BOX 110881, ANCHORAGE, AK 99511-0881
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1200
AK
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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