Individual
LACY SUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 LIBRARY CIR, GRAND FORKS, ND 58201-6328
(701) 757-0477
(701) 772-1763
Mailing address
2300 LIBRARY CIR, GRAND FORKS, ND 58201-6328
(701) 757-0477
(701) 772-1763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4418
ND
Other
Enumeration date
03/30/2017
Last updated
07/09/2021
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