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1902027832
PRENTISS J PEMBERTON
ANCHORAGE, AK
NPI
1902027832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AK 732)
Enumeration Date
2007-05-01
Last Update Date
2007-07-09
Business Address
-- PRENTISS J PEMBERTON LCSW
4105 TUDOR CENTRE DRIVE
ANCHORAGE, AK 99508
Phone number: 907-565-4000
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Mailing Address
-- PRENTISS J PEMBERTON LCSW
4105 TUDOR CENTRE DRIVE
ANCHORAGE, AK 99508
Phone number: 907-565-4000
Copy
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