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NPI Code Detail

MEDICARE: TRISHA ANNE DURAN LMSW

MEDICARE: TRISHA ANNE DURAN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker255641AK

General Provider Information

NPI Number : 1891540050
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISHA ANNE DURAN LMSW
Provider Business Mailing Address
First Line : 2521 E MOUNTAIN VILLAGE DR # B-301
Second Line :
City : WASILLA
State : AK
Zip : 99654-7373
Country : US
Telephone Number : 906-458-0201
Fax Number :
Provider Business Practice Location Address
First Line : 26731 W POINT MACKENZIE RD # B-301
Second Line :
City : WASILLA
State : AK
Zip : 99623-8709
Country : US
Telephone Number : 907-376-4534
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2024
Last Update Date : 05/20/2026

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Directions to “ TRISHA ANNE DURAN LMSW” Practice Location

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