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1720383185
NICOLE LEVAILLANT
ANCHORAGE, AK
NPI
1720383185
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 24045)
Enumeration Date
2011-01-17
Last Update Date
2019-10-22
Business Address
Dr. NICOLE LEVAILLANT Psy.D
BUILDING 786 D STREET
ANCHORAGE, AK 99505
Phone number: 408-636-6036
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Mailing Address
Dr. NICOLE LEVAILLANT Psy.D
PO BOX 9
SAN CARLOS, CA 94070-0009
Phone number: 408-636-6036
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