Individual
TERESA ANN GLENDINNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
815 2ND AVE STE 122, FAIRBANKS, AK 99701-4469
(907) 328-9664
Mailing address
PO BOX 81106, FAIRBANKS, AK 99708-1106
(907) 328-9664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
158639
AK
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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