Individual
LACY MUCKLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATR-BC, LCPAT
Contact information
Practice address
7533 MAIN ST STE 1F, SYKESVILLE, MD 21784-5308
(410) 970-6964
(410) 970-6157
Mailing address
7533 MAIN ST STE 1F, SYKESVILLE, MD 21784-5308
(410) 970-6964
(410) 970-6157
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
ATC042
MD
221700000X
Art Therapist
—
—
Other
Enumeration date
05/02/2018
Last updated
08/02/2024
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