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1396831905
BARBARA A LACKEY
TUSTIN, CA
NPI
1396831905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA M13368 and EP1351)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Dr. BARBARA A LACKEY M13368; EP1351
242 WEST MAIN STREET SUITE 200E
TUSTIN, CA 92780-0000
Phone number: 714-838-4174
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Mailing Address
Dr. BARBARA A LACKEY M13368; EP1351
33681 HALYARD DRIVE
DANA POINT, CA 92629-4422
Phone number: 949-240-9990
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