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Individual

SUSAN CRISS-CARBOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
600 UNIVERSITY AVE, SUITE 5C, FAIRBANKS, AK 99709-3643
(907) 452-7616
(907) 457-2946
Mailing address
PO BOX 82727, FAIRBANKS, AK 99708-2727
(907) 452-7616
(907) 457-2946

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
263
AK

Other

Enumeration date
03/20/2007
Last updated
07/08/2007
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