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1528263787
ANGEL STEVENS
FAIRBANKS, AK
NPI
1528263787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK Certificate 3215)
Enumeration Date
2007-06-18
Last Update Date
2007-07-09
Business Address
-- ANGEL STEVENS CT
2550 LAWLOR RD
FAIRBANKS, AK 99709-6458
Phone number: 907-455-4725
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Mailing Address
-- ANGEL STEVENS CT
PO BOX 72258
FAIRBANKS, AK 99707-2258
Phone number: 907-452-7221
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