Individual provider · NPI-1

Leslie Lauren Berberich, LCSW

Social Worker, Clinical · Palmer, AK

NPI number1700358561
StatusActive
Last updated in NPPESDec 18, 2018

Details

NPI
1700358561
Entity type
Individual (NPI-1)
Name
Ms. Leslie Lauren Berberich
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Dec 18, 2018
Last updated
Dec 18, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical105341AKYes

Practice location

11921 E Palmer Wasilla Hwy
Palmer, AK 99645-8833

Phone 907-745-2634

Mailing address

Po Box 874583
Wasilla, AK 99687-4583

Phone 907-521-2101

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