MICHAEL J MAGOWAN LMFT PC
Marriage and Family Therapists at University Ave, Fairbanks, AK

License number
Alaska 309371
Category
Marriage and Family Therapists
Type
Marriage & Family Therapist
Owner
Name: MICHAEL J MAGOWAN LMFT
Title: DIRECTOR
Phone: (907) 452-6522
Address
Address
600 University Ave STE 108, Fairbanks, AK 99709
National Provider ID: 1942697958
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL J. MAGOWAN, L.M.F.T., PC

Fairbanks, AK

Registration:
Jan 18, 2000
Addresses:
PO Box 81611, Fairbanks, AK 99708 (Mailing)
600 University Ave SUITE 108, Fairbanks, AK 99709 (Physical)
State ID:
68659D
Business type:
Professional Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer:
Michael J Magowan (Director, President, Shareholder, Secretary, Treasurer)
Next Report:
20160102

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