SAMUEL G MACK

TACOMA, WA
NPI1710952916
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MI  6801065054)
Enumeration Date2006-02-21
Last Update Date2007-07-08
Business Address
MR. SAMUEL G MACK
9040A FITZSIMMONS AVE
TACOMA, WA 98431-0001
Phone number: 253-968-4184
Mailing Address
MR. SAMUEL G MACK
1311 ROWAN CT
DUPONT, WA 98327-8776
Phone number: 253-968-4184
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