Individual
LACEY JO RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
65 E BROADWAY ST, BUTTE, MT 59701-9305
(406) 200-8115
Mailing address
PO BOX 215, BUTTE, MT 59703-0215
(406) 200-8115
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
RC00057875
WA
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-1003
MT
Other
Enumeration date
01/28/2008
Last updated
08/18/2025
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