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1982266326
LACAGE MARIE HENDERSON
WASILLA, AK
NPI
1982266326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-07-06
Last Update Date
2019-07-06
Business Address
LACAGE MARIE HENDERSON
2521 E MOUNTAIN VILLAGE DR STE F
WASILLA, AK 99654-7373
Phone number: 907-290-3760
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Mailing Address
LACAGE MARIE HENDERSON
3860 S TRADEWINDS CIR
WASILLA, AK 99623-9410
Phone number: 810-986-7053
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