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MOMODOUBOLONG FAITALA
Behavior Technician
NPI: 1144810763Individual
Specialties, Licenses & Credentials
Counselor — Addiction (Substance Use Disorder)
Code: 101YA0400X
Contact & Hours
- Address
- 3105 LAKESHORE DR STE A101
ANCHORAGE, AK 99517 - Phone
- (907) 302-9164
Quick Facts
- NPI
- 1144810763
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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