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1639237902
WILLIAM JEFFREY LOTAK
MUNSTER, IN
NPI
1639237902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IN 20041350A)
Enumeration Date
2006-12-05
Last Update Date
2007-07-09
Business Address
Dr. WILLIAM JEFFREY LOTAK Psy.D
32 RIDGE RD
MUNSTER, IN 46321-1518
Phone number: 219-836-8806
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Mailing Address
Dr. WILLIAM JEFFREY LOTAK Psy.D
10105 WELLINGTON TER
MUNSTER, IN 46321-4373
Phone number: 219-922-9299
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