Individual
MRS. YOLANDA T EASAW-FAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
815 2ND AVE, FAIRBANKS, AK 99701-4400
(907) 378-5009
Mailing address
PO BOX 58450, FAIRBANKS, AK 99711-0450
(907) 378-5009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
166749
AK
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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