PETER PAUL LACK

PORT TOWNSEND, WA
NPI1033529987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TA0400X Psychologist, Addiction (Substance Use Disorder)
(Licence: WA  CP00006346)
Enumeration Date2014-04-30
Last Update Date2014-04-30
Business Address
-- PETER PAUL LACK
3804 HASTINGS AVE W
PORT TOWNSEND, WA 98368-9642
Phone number: 360-385-5505
Mailing Address
-- PETER PAUL LACK
PO BOX 102
PORT TOWNSEND, WA 98368-0102
Phone number: 360-385-5505
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