DEMENTRI C MARTIN-URBAN

FAIRBANKS, AK
NPI1851527535
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-06-08
Last Update Date2009-06-08
Business Address
-- DEMENTRI C MARTIN-URBAN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575
Mailing Address
-- DEMENTRI C MARTIN-URBAN
3830 S CUSHMAN ST
FAIRBANKS, AK 99701-7530
Phone number: 907-452-1575