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Organization

LACYCASEMANAGEMENT INC

Active
Other names
LacyCaseManagement Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROLYN ROGERS LACY N/A (CEO)
(404) 213-8517
Entity
Organization

Contact information

Practice address
1420 FOXHALL LN SE APT 8, ATLANTA, GA 30316-3474
(404) 213-8517
(404) 328-0999
Mailing address
1420 FOXHALL LN SE APT 8, ATLANTA, GA 30316-3474
(404) 213-8517
(404) 328-0999

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00628559A
GA
Enumeration date
12/06/2022
Last updated
12/06/2022
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