Most Relevant Information
Provider Data
| NPI Number: | 1003178526 |
| Provider Name: | TAMMY SUE KORB |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2012 |
| Last Updated: | 06/11/2012 |
Provider Practice Location
3830 S CUSHMAN ST
FAIRBANKS
AK
997017530
Practice Location Phone/Fax
| Phone: | 9074521575 |
| Fax: |
Provider Mailing Location
3830 S CUSHMAN ST
FAIRBANKS
AK
997017530
Provider Mailing Phone/Fax
| Phone: | 9074521575 |
| Fax: |