MARK ANTHONY SHIELDS

FAIRBANKS, AK
NPI1811086853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AK  402)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Mr. MARK ANTHONY SHIELDS MSW, LCSW, ACSW
3504 INDUSTRIAL AVE
FAIRBANKS, AK 99701-7376
Phone number: 907-452-4673
Mailing Address
Mr. MARK ANTHONY SHIELDS MSW, LCSW, ACSW
3504 INDUSTRIAL AVE PO BOX 70450
FAIRBANKS, AK 99701-7376
Phone number: 907-452-4673
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