Individual
ALEXANDER BRANDON LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 BOLIN DR, TOPPENISH, WA 98948-1644
(509) 865-8262
Mailing address
306 BOLIN DR, TOPPENISH, WA 98948-1644
(509) 865-8262
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
567552E
WA
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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