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Individual

MICHAEL CHADWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
3100 S CUSHMAN ST, FAIRBANKS, AK 99701-7516
(907) 452-1648
Mailing address
1070 NORTHWOOD LN, FAIRBANKS, AK 99712-2142
(907) 841-2854

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
03/03/2015
Last updated
08/12/2022
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