Individual
LACEY WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 E REAGAN PKWY APT 198, MEDINA, OH 44256-1244
(740) 801-0294
Mailing address
1433 TIMBER TRL # A8L-A, AKRON, OH 44313-9131
(740) 801-0294
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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