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1629369533
ELLEN-ROSE TERESE GRAECA
FAIRBANKS, AK
NPI
1629369533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-04-26
Last Update Date
2012-02-17
Business Address
Mrs. ELLEN-ROSE TERESE GRAECA
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-455-5304
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Mailing Address
Mrs. ELLEN-ROSE TERESE GRAECA
715 24TH AVE
FAIRBANKS, AK 99701-7003
Phone number: 907-750-1213
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