Individual
DR. TIMOTHY JOHN LASKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSW, PHD
Contact information
Practice address
917 E GURLEY ST, PRESCOTT, AZ 86301-3244
(928) 899-3068
Mailing address
917 E GURLEY ST, PRESCOTT, AZ 86301-3244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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