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Individual

LACIE STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4006 FOREST HILL RD, JONESBORO, AR 72404-8554
(740) 296-8749
Mailing address
24182 PUMPKIN RIDGE RD, NEW PLYMOUTH, OH 45654-8960
(740) 296-8749

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
12700-C
AR
104100000X
Social Worker
I.2203389
OH
104100000X
Social Worker
Primary
L14157
OR

Other

Enumeration date
02/03/2023
Last updated
07/07/2023
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