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1487321386
TANESHA MICHELE LIE
FAIRBANKS, AK
NPI
1487321386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TB0200X Psychologist, Cognitive & Behavioral
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
TANESHA MICHELE LIE
1051 SOUTH CUSHMAN STREET
FAIRBANKS, AK 99701
Phone number: 907-388-6817
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Mailing Address
TANESHA MICHELE LIE
1051 SOUTH CUSHMAN STREET
FAIRBANKS, AK 99709
Phone number:
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