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1184336521
TASHA MAE LUNDGREN
ANCHORAGE, AK
NPI
1184336521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 4972)
Enumeration Date
2022-12-16
Last Update Date
2022-12-16
Business Address
TASHA MAE LUNDGREN
2825 W 42ND AVE
ANCHORAGE, AK 99517-2830
Phone number: 907-243-5130
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Mailing Address
TASHA MAE LUNDGREN
2825 W 42ND AVE
ANCHORAGE, AK 99517-2830
Phone number: 907-243-5130
Copy
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