Jackie Sunnyboy

NPI #1235320821 in Fairbanks, Alaska

Provider Information

NPI Number: 1235320821
Entity Type: Individual
Name: Jackie Sunnyboy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Aug 7, 2007
Last Updated: Aug 7, 2007

Practice Location

Address: 3830 S CUSHMAN ST
City: Fairbanks
State: Alaska
ZIP Code: 99701-7530
Phone: (907) 455-1421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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