Individual
REAGAN LORRAINE DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 GAFFNEY RD STE 100, FAIRBANKS, AK 99701-4914
(907) 687-5428
Mailing address
1537 SCENIC LOOP, FAIRBANKS, AK 99709-6735
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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