Alvin Dave Lackard
Alvin Dave Lackard is a Counselor in Jamaica Plain, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3313 Washington StJamaica Plain, MA 02130-2691
Phone: (617) 522-7008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1124636808 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2020 |
| Last updated in NPPES | July 17, 2020 |
| Certification date | July 17, 2020 |
| Mailing address | 24 Maryland St Apt 2, Dorchester, MA 02125-4165 |
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