Individual
MR. DAVID EDWARD SCHLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1326 EAST RIPLEY STREET, LITCHFIELD, MN 55355
(320) 593-0440
(320) 543-0442
Mailing address
1326 EAST RIPLEY STREET, LITCHFIELD, MN 55355
(320) 593-0440
(320) 543-0442
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
300543
MN
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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