Individual
MS. CHARLOTTE MARIE TREAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701
(907) 459-4700
Mailing address
2140 HILLING AVE, FAIRBANKS, AK 99709
(907) 978-9314
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AK
Other
Enumeration date
10/29/2007
Last updated
08/26/2008
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