Individual
DEVIN LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18154 MARTIN AVE STE 1, HOMEWOOD, IL 60430-2155
(872) 200-1366
Mailing address
18154 MARTIN AVE STE 1, HOMEWOOD, IL 60430-2155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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