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Individual
MARK LAZICH
Active
Individual
MARK LAZICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8481
WA
101YP2500X
Professional Counselor
C1666
OR
Other
Enumeration date
08/04/2006
Last updated
02/14/2008
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