Individual
SEAN T. O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3180 PEGER RD, SUITE 250, FAIRBANKS, AK 99709-5453
(907) 590-9204
Mailing address
PO BOX 84765, FAIRBANKS, AK 99708-4765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1258
AK
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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