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Individual

LACEY LANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
462 CEDAR PARK CIR, LA VERGNE, TN 37086-2096
(309) 648-6396
Mailing address
462 CEDAR PARK CIR, LA VERGNE, TN 37086-2096
(309) 648-6396

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15380
TN

Other

Enumeration date
05/06/2025
Last updated
05/06/2025
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