Individual
VIRGINIA C S REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 21ST AVE STE 204, FAIRBANKS, AK 99701-6084
(907) 474-0059
Mailing address
1305 21ST AVE STE 204, FAIRBANKS, AK 99701-6084
(907) 474-0059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2019
Last updated
04/06/2025
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