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Individual
LACIE L ANTHONY
Active
Individual
LACIE L ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3444
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40959200
—
WI
Enumeration date
07/03/2006
Last updated
06/15/2021
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