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Individual

MS. DELORES L LACEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, SAP

Contact information

Practice address
5494 BROWN ROAD, SUITE 129, HAZELWOOD, MO 63042-1101
(314) 755-1952
(314) 755-1951
Mailing address
2200 N HIGHWAY 67, #941, FLORISSANT, MO 63033
(314) 755-1952
(314) 755-1951

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2008000856
MO

Other

Enumeration date
11/09/2009
Last updated
09/26/2014
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