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1306895768
WAYNE LACKS
BROOKLYN, NY
NPI
1306895768
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: NY R026554)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
-- WAYNE LACKS LCSW
1740 OCEAN AVE
BROOKLYN, NY 11230-5460
Phone number: 718-338-6515
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Mailing Address
-- WAYNE LACKS LCSW
1740 OCEAN AVE
BROOKLYN, NY 11230-5448
Phone number: 718-338-6515
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