Individual
LACEY MARIE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 W PRINCE RD, PUPIL SERVICE CENTER, TUCSON, AZ 85705-3014
(520) 696-8837
Mailing address
1450 W PRINCE RD, PUPIL SERVICE CENTER, TUCSON, AZ 85705-3014
(520) 696-8837
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5250
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162381
—
AZ
Enumeration date
02/13/2007
Last updated
07/09/2007
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