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Individual
MS. SHELAGH MARIE LACEY
Active
Individual
MS. SHELAGH MARIE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904003747
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904003747
L.C;S.W.LICENSE
VA
Enumeration date
07/29/2006
Last updated
07/08/2007
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