Individual
RACHEL OLIVIA BRITT AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 459-3800
Mailing address
PO BOX 52, GALENA, AK 99741-0052
(318) 501-1123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
153631
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14304
LMSW LICENSE
LA
01
—
153631
MASTER SOCIAL WORKER
AK
Enumeration date
03/19/2019
Last updated
08/29/2024
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