PRENTISS J PEMBERTON

ANCHORAGE, AK
NPI1902027832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AK  732)
Enumeration Date2007-05-01
Last Update Date2007-07-09
Business Address
-- PRENTISS J PEMBERTON LCSW
4105 TUDOR CENTRE DRIVE
ANCHORAGE, AK 99508
Phone number: 907-565-4000
Mailing Address
-- PRENTISS J PEMBERTON LCSW
4105 TUDOR CENTRE DRIVE
ANCHORAGE, AK 99508
Phone number: 907-565-4000