Individual
TAMMY KULASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 455-1416
(907) 455-1487
Mailing address
1580 ALPINE VISTA CT, FAIRBANKS, AK 99712-3016
(907) 455-5311
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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