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1538757166
AUTUMN LUCILLE LEBLANC
WASILLA, AK
NPI
1538757166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-01-08
Last Update Date
2021-01-08
Business Address
AUTUMN LUCILLE LEBLANC
26731 W POINT MACKENZIE RD
WASILLA, AK 99623-8709
Phone number: 907-376-4534
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Mailing Address
AUTUMN LUCILLE LEBLANC
PO BOX 871545
WASILLA, AK 99687-1545
Phone number: 907-376-4534
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