Individual
LACY MCGUIRE-BLANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 E STROOP RD, KETTERING, OH 45429-3245
(937) 294-6004
Mailing address
529 E STROOP RD, KETTERING, OH 45429-3245
(937) 294-6004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0500578
OH
Other
Enumeration date
10/13/2008
Last updated
10/13/2008
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