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Individual

MR. JOSEPH GARRETT HACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
2519 RYAN ST, LAKE CHARLES, LA 70601-7323
(337) 491-0800
(337) 491-0508
Mailing address
3805 PLACID LN, LAKE CHARLES, LA 70605-6773
(361) 815-4643

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-238
LA

Other

Enumeration date
10/11/2017
Last updated
03/17/2018
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