Individual
LACEY LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(217) 823-1274
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-5871
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
C010882
NC
1041C0700X
Clinical Social Worker
C010882
NC
Other
Enumeration date
08/06/2015
Last updated
08/13/2025
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