Organization
LIFEOLOGIST WELLNESS & EDUCATIONAL CONSULTANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDA EASAW-FAVOR (OWNER)
(907) 378-5009
Entity
Organization
Contact information
Practice address
815 2ND AVE STE 112, FAIRBANKS, AK 99701-4469
(907) 378-5009
Mailing address
PO BOX 58450, FAIRBANKS, AK 99711-0450
(907) 378-5009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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