Individual
MEGAN LORISSA GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(907) 451-4700
Mailing address
619 11TH AVE STE 200, FAIRBANKS, AK 99701-4676
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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