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1790348118
LESLIE WHITEHEAD
ANCHORAGE, AK
NPI
1790348118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-04-22
Last Update Date
2019-04-22
Business Address
LESLIE WHITEHEAD
121 W FIREWEED LN STE 105
ANCHORAGE, AK 99503-2044
Phone number: 907-865-9653
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Mailing Address
LESLIE WHITEHEAD
121 W FIREWEED LN STE 105
ANCHORAGE, AK 99503-2044
Phone number: 907-865-9653
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