WAVERLY FAIR

FAIRBANKS, AK
NPI1356694012
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2012-10-18
Last Update Date2012-10-18
Business Address
Mr. WAVERLY FAIR
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-1575
Mailing Address
Mr. WAVERLY FAIR
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number:
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