Individual
MR. MICHAEL J. MAGOWAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
600 UNIVERSITY AVE, SUITE 108, FAIRBANKS, AK 99709-3643
(907) 452-6522
(907) 452-6522
Mailing address
PO BOX 81611, FAIRBANKS, AK 99708-1611
(907) 452-6522
(907) 452-6522
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
147
AK
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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