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Individual

MRS. VIOLA L MCCAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1335 SKYLINE DR, FAIRBANKS, AK 99712-1151
(907) 456-1313
Mailing address
1335 SKYLINE DR, FAIRBANKS, AK 99712-1151
(907) 456-1313

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
508136
AK

Other

Enumeration date
01/04/2012
Last updated
01/04/2012
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