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1013006170
ERIC A LACKIE
EUGENE, OR
NPI
1013006170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: OR T0785)
Enumeration Date
2006-10-12
Last Update Date
2024-10-04
Business Address
ERIC A LACKIE LMFT
1234 HIGH ST
EUGENE, OR 97401-3238
Phone number: 541-342-8437
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Mailing Address
ERIC A LACKIE LMFT
1258 HIGH ST
EUGENE, OR 97401-3238
Phone number:
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