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1023377785
PATRICK LACKAMP
GIRARD, KS
NPI
1023377785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 466)
Enumeration Date
2012-05-15
Last Update Date
2012-05-15
Business Address
-- PATRICK LACKAMP LAC
810 CEDAR ST
GIRARD, KS 66743-2056
Phone number: 620-724-8806
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Mailing Address
-- PATRICK LACKAMP LAC
911 E CENTENNIAL DR
PITTSBURG, KS 66762-6601
Phone number: 620-231-5130
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