CANDACE ALEXIS BLACKWOOD

FAIRBANKS, AK
NPI1033395512
Former NameCANDACE ALEXIS HAYES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2008-01-15
Last Update Date2008-01-15
Business Address
Mrs. CANDACE ALEXIS BLACKWOOD MS
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Mailing Address
Mrs. CANDACE ALEXIS BLACKWOOD MS
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890