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Individual
DR. MICHAEL LACY
Active
Individual
DR. MICHAEL LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD,, LBP, NCSP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0238
OK
103TS0200X
School Psychologist
22098
OK
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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