Making a Difference Support Services, LLC

NPI #1013424225 in Fairbanks, Alaska

Provider Information

NPI Number
1013424225
Entity Type
Organization
Organization Name
Making a Difference Support Services, LLC
Primary Specialty
Social Worker - Clinical
Enumeration Date
Jan 9, 2018
Last Updated
Apr 4, 2018

Practice Location

Address
1867 AIRPORT WAY STE 200
State
Alaska
ZIP Code
99701-4061
Phone
(907) 750-7169

Authorized Official

Name
CRYSTAL DEVON MCCORMICK
Title
OWNER
Phone
(907) 750-7169

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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