MARK AARON LACKEY

BOULDER, CO
NPI1134412893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-05-26
Last Update Date2011-05-26
Business Address
-- MARK AARON LACKEY
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
Mailing Address
-- MARK AARON LACKEY
1333 IRIS AVE
BOULDER, CO 80304-2226
Phone number: 303-443-8500
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