BRIAN WALLACE SMITH

FAIRBANKS, AK
NPI1205127735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-05-02
Last Update Date2011-05-02
Business Address
-- BRIAN WALLACE SMITH ma
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1416
Mailing Address
-- BRIAN WALLACE SMITH ma
1300 GARAY ST
FAIRBANKS, AK 99709-3169
Phone number: 907-687-7805
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