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Individual

GRACE FERREIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC,MED,NBCC

Contact information

Practice address
1370 VIEWPOINTE DR, FAIRBANKS, AK 99709-6745
(907) 378-4141
Mailing address
PO BOX 10857, FAIRBANKS, AK 99710-0857
(907) 378-4141

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
794
AK

Other

Enumeration date
11/10/2021
Last updated
11/10/2021
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