Provider Information for 1689230443
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MICHON WHITEROSE LCSW
Sex: Female
NPI: 1689230443
Last Updated: 2024-08-17
Certification Date: 2024-08-17
Certification Date: 2024-08-17
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1689230443 | ||||||||
| Enumeration Date | 2019-05-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4130 SAN ERNESTO AVE ANCHORAGE, AK 99508-2875 United States Phone: 907-729-5086 | Fax: | ||||||||
| Primary Practice Address | 4130 SAN ERNESTO AVE ANCHORAGE, AK 99508-2875 United States Phone: 907-729-5086 | Fax: | ||||||||
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