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1871612994
ANDREA LACKOVIC
CORCORAN, CA
NPI
1871612994
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA Psy23544)
Enumeration Date
2007-03-28
Last Update Date
2013-03-26
Business Address
Dr. ANDREA LACKOVIC Psy.D.
4001 KING AVE
CORCORAN, CA 93212-9611
Phone number: 559-992-8800
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Mailing Address
Dr. ANDREA LACKOVIC Psy.D.
PO BOX 8800
CORCORAN, CA 93212-8800
Phone number: 559-992-8800
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