DAVID SHACK

FARMINGTON, CT
NPI1811942402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: CT  646)
Enumeration Date2006-05-23
Last Update Date2007-07-08
Business Address
-- DAVID SHACK
270 FARMINGTON AVE SUITE 309
FARMINGTON, CT 06032-1909
Phone number: 860-677-5570
Mailing Address
-- DAVID SHACK
8 MAGNOLIA CIR
FARMINGTON, CT 06032-2049
Phone number:
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