MALISSIA WILLOWDAWN ANDERSON

FAIRBANKS, AK
NPI1467899625
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101Y00000X Counselor
Enumeration Date2013-05-29
Last Update Date2020-11-16
Business Address
MALISSIA WILLOWDAWN ANDERSON MHT
3101 LATHROP STREET
FAIRBANKS, AK 99701
Phone number: 907-459-4700
Mailing Address
MALISSIA WILLOWDAWN ANDERSON MHT
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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