Organization
SHAYLE M LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLE HUTCHISON LCSW (OWNER)
(907) 374-1328
Entity
Organization
Contact information
Practice address
600 UNIVERSITY AVE STE 110, FAIRBANKS, AK 99709-3651
(907) 374-1328
Mailing address
PO BOX 70672, FAIRBANKS, AK 99707-0672
(907) 374-1328
(907) 374-1328
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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