Individual
MS. MARGARET A DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1417 MAC FARLAND, FAIRBANKS, AK 99709-7530
(907) 479-0245
(907) 479-0245
Mailing address
1417 MAC FARLAND, FAIRBANKS, AK 99709-7530
(907) 445-5307
(907) 455-5306
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCPC724
MT
101YM0800X
Mental Health Counselor
Primary
562
AK
Other
Enumeration date
01/31/2007
Last updated
08/30/2010
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