Individual
LYNDA MAE CROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3051 N VAN HORN RD, FAIRBANKS, AK 99701-7319
(907) 451-1170
Mailing address
660 WILCOX AVE APT 18, P.O. BOX 74601, FAIRBANKS, AK 99709-3649
(907) 451-1170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2074
AK
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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