Individual
MICHELLE DEBORAH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1400 N GILBERT RD, SUITE P, GILBERT, AZ 85234-2328
(480) 272-0411
Mailing address
1400 N GILBERT RD, SUITE P, GILBERT, AZ 85234-2328
(480) 272-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10335
AZ
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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