Individual
LORI LYNN SYVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 N. CRUSEY ST., STE A101, WASILLA, AK 99654
(907) 315-5425
Mailing address
77 N. CRUSEY ST., STE A101, WASILLA, AK 99654
(907) 315-5425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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