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1417403643
MEGAN RUSSELL-LICATA
ANCHORAGE, AK
NPI
1417403643
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AK 113123)
Enumeration Date
2016-08-28
Last Update Date
2016-08-28
Business Address
-- MEGAN RUSSELL-LICATA
2550 DENALI ST., STE. 1608
ANCHORAGE, AK 99503
Phone number: 907-242-9541
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Mailing Address
-- MEGAN RUSSELL-LICATA
1617 LOGAN ST.
ANCHORAGE, AK 99508-3237
Phone number:
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