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Individual
LACEY GEBHART
Active
Individual
LACEY GEBHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116399726
—
AR
Enumeration date
05/28/2010
Last updated
02/03/2011
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