Individual
LACY SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
87 ELM ST, GAINESVILLE, MO 65655-7131
(417) 679-2775
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024017857
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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