Individual
ANNETTE BLANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, BCBA
Contact information
Practice address
2117 DOLLY VARDEN AVE, ANCHORAGE, AK 99516-1926
(907) 345-8654
Mailing address
2117 DOLLY VARDEN AVE, ANCHORAGE, AK 99516-1926
(907) 345-8654
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
1256
AK
Other
Enumeration date
05/10/2014
Last updated
05/10/2014
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