| Shayle M Lcsw Llc | |
|
600 University Ave Ste 110 Fairbanks AK 99709-3651 | |
| (907) 374-1328 | |
| Not Available |
| Full Name | Shayle M Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 University Ave Ste 110, Fairbanks, Alaska |
| Authorized Official Name and Position | Shayle Hutchison (OWNER) |
| Authorized Official Contact | 9073741328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shayle M Lcsw Llc Po Box 70672 Fairbanks AK 99707-0672 Ph: (907) 374-1328 | Shayle M Lcsw Llc 600 University Ave Ste 110 Fairbanks AK 99709-3651 Ph: (907) 374-1328 |
| NPI Number | 1538637475 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 11/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538637475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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