NPI 1063603645

Carl Rayburn

Practitioner Social Worker Fairbanks, AK

Practice location

Address: 1825 Marika Road, Fairbanks, AK 99709-5521
Phone: (907) 455-1421

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X

Other Social Worker providers in Alaska →

Registry record

NPI: 1063603645
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2007
Record last updated: 19 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.