SHELLY D LAACK

STOCKTON, CA
NPI1114049681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Mrs. SHELLY D LAACK
620 N AURORA ST STE 1
STOCKTON, CA 95202-2276
Phone number: 209-468-3720
Mailing Address
Mrs. SHELLY D LAACK
4322 LEGACY CT
STOCKTON, CA 95219-2506
Phone number: 209-468-3288