Individual
GILES ANDREW HAWTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., B.S.W.
Contact information
Practice address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 371-1300
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
(907) 452-6903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
10/18/2022
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