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Individual

MRS. ALLISON LACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1924 DOVERCLIFF CT, CHESTERFIELD, MO 63017-8032
(314) 799-3602
Mailing address
1924 DOVERCLIFF CT, CHESTERFIELD, MO 63017-8032
(314) 799-3602

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2015010730
MO
235Z00000X
Speech-Language Pathologist
SP-1537
HI

Other

Enumeration date
04/12/2019
Last updated
04/12/2019
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