Individual
MR. MARK EUGENE LORENZEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2DN & LIGGETT ST. BLDING 2006A, MCHJ-DA, ARMY SUBSTANCE ABUSE PROGRAM/MAMC, TACOMA, WA 98431-0001
(253) 967-1452
Mailing address
5633 ORCA DR NE, TACOMA, WA 98422-1983
(253) 952-3072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01803
IA
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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