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1336972819
CORISSA ANNE HENNESSEY
ANCHORAGE, AK
NPI
1336972819
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Former Name
CORISSA CRADDICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AK 209097)
Enumeration Date
2024-08-21
Last Update Date
2024-08-21
Business Address
CORISSA ANNE HENNESSEY LMSW
3001 C ST
ANCHORAGE, AK 99503-3913
Phone number: 907-201-5670
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Mailing Address
CORISSA ANNE HENNESSEY LMSW
10300 LONE TREE DR
ANCHORAGE, AK 99507-6920
Phone number: 512-771-5604
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