Alvin Dave Lackard

NPI #1124636808 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1124636808
Entity Type: Individual
Name: Alvin Dave Lackard
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jul 17, 2020
Last Updated: Jul 17, 2020

Practice Location

Address: 3313 WASHINGTON ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-2691
Phone: (617) 522-7008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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