Individual
DENISE MANDREGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 FIRST AVE SUITE 400, FAIRBANKS, AK 99701
(907) 459-3800
Mailing address
122 FIRST AVE SUITE 400, FAIRBANKS, AK 99701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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