ANTHONY DAVID HAACK

FAIRBANKS, AK
NPI1700156775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-01-09
Last Update Date2012-01-09
Business Address
ANTHONY DAVID HAACK
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Mailing Address
ANTHONY DAVID HAACK
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890