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1164154928
ALYSON LACKO
ARCATA, CA
NPI
1164154928
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
ALYSON LACKO
791 8TH ST STE S
ARCATA, CA 95521-6234
Phone number: 707-502-6564
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Mailing Address
ALYSON LACKO
791 8TH ST STE S
ARCATA, CA 95521-6234
Phone number:
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