Individual
DANIELLE LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW U/S
Contact information
Practice address
6216 S LEWIS AVE, STE 180, TULSA, OK 74136-1077
(918) 960-7852
(539) 664-5738
Mailing address
6216 S LEWIS AVE, STE 180, TULSA, OK 74136-1077
(918) 960-7852
(539) 664-5738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
04/29/2022
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