Individual
MANDIE STOLL-TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4045 LAKE OTIS PKWY, ANCHORAGE, AK 99508-5227
(907) 561-0954
(907) 561-7093
Mailing address
PO BOX 200275, ANCHORAGE, AK 99520-0275
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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