Individual
ALYSSA BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-6251
Mailing address
4509 MAGNOLIA LN UNIT 4, FORT WAINWRIGHT, AK 99703-1312
(585) 704-3492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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