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Mark Tack, LMSW, ADC
NPI 1184083206 · on the registry since 2016
Practice
- Address
- 7424 Apennines Dr
Army Substance Abuse Program (Asap)
Fort Riley, KS 66442 - Phone
- (785) 239-0662
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Also registered as
- Social Worker
- Licence states on file
- KS, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-02-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas