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Individual

LACEY MARIE MARTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 STONECASTLE DR, BRANDON, MS 39047-8070
(504) 503-3827
Mailing address
200 STONECASTLE DR, BRANDON, MS 39047-8070
(504) 503-3827

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/04/2026
Last updated
03/04/2026
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