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Individual

MR. LAMAR DION MACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MBA

Contact information

Practice address
3704 E IRVINGTON RD # 156, TUCSON, AZ 85714-1958
(520) 688-0856
Mailing address
3704 E IRVINGTON RD # 156, TUCSON, AZ 85714-1958
(520) 688-0856

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
373H00000X
Day Training/Habilitation Specialist
21273
ID

Other

Enumeration date
11/16/2022
Last updated
04/22/2024
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