Individual
LACY SAUCIER BROWN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 MARYLAND AVE, MCCOMB, MS 39648-3926
(601) 250-4815
Mailing address
12 A L SAUCIER RD, HATTIESBURG, MS 39402-1194
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA1964
MS
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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