CODI NICOLE BURK

FAIRBANKS, AK
NPI1619520335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2019-07-22
Last Update Date2022-03-15
Business Address
CODI NICOLE BURK
3520 INDUSTRIAL AVE
FAIRBANKS, AK 99701-7376
Phone number: 907-378-8841
Mailing Address
CODI NICOLE BURK
PO BOX 55178
NORTH POLE, AK 99705-0178
Phone number: 907-378-8841
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