Individual
LESLIE YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
407 5TH AVE, FAIRBANKS, AK 99701-4715
(907) 455-4135
(907) 455-4105
Mailing address
407 5TH AVE, FAIRBANKS, AK 99701-4715
(907) 455-4135
(907) 455-4105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
401
AK
1041C0700X
Clinical Social Worker
Primary
854
AK
Other
Enumeration date
05/23/2007
Last updated
02/13/2012
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