ALYSSA MARIE AGNES

FAIRBANKS, AK
NPI1740849819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-11
Last Update Date2019-06-12
Business Address
ALYSSA MARIE AGNES
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
Mailing Address
ALYSSA MARIE AGNES
1521 S CUSHMAN ST
FAIRBANKS, AK 99701-6203
Phone number: 907-452-8251
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