SUSIE KATHERINE MITKOV

FAIRBANKS, AK
NPI1669105375
Former NameSUSIE KATHERINE BURRIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-07-08
Last Update Date2022-07-08
Business Address
SUSIE KATHERINE MITKOV
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
Mailing Address
SUSIE KATHERINE MITKOV
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
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