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Individual

MRS. MILLIE F. LACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSE, LPC

Contact information

Practice address
202 COMMERCIAL AVE E, WYNNE, AR 72396-2930
(870) 238-4329
(870) 208-8935
Mailing address
811 FORREST AVE E, WYNNE, AR 72396-3730
(870) 238-4329
(870) 208-8935

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0011032
AR

Other

Enumeration date
05/17/2007
Last updated
07/09/2007
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