Individual
SHARON JANELLE LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 SW CEDAR HILLS BLVD BLDG STE 200, BEAVERTON, OR 97005-1416
(503) 352-6000
Mailing address
275 NW LOST SPRINGS TER UNIT 108, PORTLAND, OR 97229-6436
(210) 780-0103
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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