Individual
TONY TALACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
110 W K ST, SHELTON, WA 98584-2944
(360) 426-1696
(360) 427-0357
Mailing address
7 S HOWARD ST STE 321, SPOKANE, WA 99201-3816
(509) 838-4128
(509) 838-4816
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CG60150687
WA
Other
Enumeration date
06/05/2008
Last updated
03/19/2020
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