IndividualActive
Carl Rayburn
NPI 1063603645 · Social Worker · Fairbanks, AK
Provider details
- NPI number
- 1063603645
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1825 Marika Road
Fairbanks, AK 99709-5521
Phone: (907) 455-1421
Approximate (ZIP-level) locationGet directions
Mailing address
1825 Marika Road
Fairbanks, AK 99709-5521
Registry dates
- Enumerated
- 2007-08-07
- Last updated
- 2012-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.