RAY J DEWILDE

FAIRBANKS, AK
NPI1447491758
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2009-03-16
Last Update Date2009-03-16
Business Address
MR. RAY J DEWILDE
122 1ST AVE STE 600
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251
Mailing Address
MR. RAY J DEWILDE
122 1ST AVE STE 600
FAIRBANKS, AK 99701-4871
Phone number:
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