Individual
LACEY MELODY MAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
155 S HANOVER ST, CARLISLE, PA 17013-3455
(717) 386-5971
Mailing address
115 N MARKET ST, DUNCANNON, PA 17020-1330
(717) 636-1950
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW137332
PA
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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