STEPHEN EDWARD LASICKA

TARZANA, CA
NPI1336352301
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-05-07
Last Update Date2007-10-22
Business Address
Mr. STEPHEN EDWARD LASICKA
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
Mailing Address
Mr. STEPHEN EDWARD LASICKA
8939 MCLENNAN AVE
NORTHRIDGE, CA 91343-4009
Phone number: 818-536-1285
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