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Individual
LACEY ROSE ROBERTS
Active
Individual
LACEY ROSE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11507-C
AR
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
11507-M
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/23/2020
Last updated
03/17/2026
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