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1194370114
PAULINE ELIZABETH SMITH
FAIRBANKS, AK
NPI
1194370114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-08-06
Last Update Date
2024-08-06
Business Address
PAULINE ELIZABETH SMITH
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
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Mailing Address
PAULINE ELIZABETH SMITH
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
Copy
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