Individual
SHILOH EDWARD BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621
Mailing address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
171M00000X
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH3237
—
AK
Enumeration date
05/08/2014
Last updated
05/08/2014
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