LISA ROOT

FAIRBANKS, AK
NPI1376986802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  012375)
Enumeration Date2013-04-15
Last Update Date2013-04-15
Business Address
-- LISA ROOT Psyd
442 HAGELBARGER AVE
FAIRBANKS, AK 99712-1917
Phone number: 907-350-4353
Mailing Address
-- LISA ROOT Psyd
442 HAGELBARGER AVE
FAIRBANKS, AK 99712-1917
Phone number: 907-350-4353
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