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Individual

MRS. LACEY M RICHARD I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC-MH, CAC QMHP

Contact information

Practice address
403 W BROAD AVE, FLANDREAU, SD 57028-1630
(605) 997-3844
(605) 997-9940
Mailing address
403 W BROAD AVE, FLANDREAU, SD 57028-1630
(605) 573-4162
(605) 997-9940

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20171
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20171
LPC-MH
SD
Enumeration date
10/28/2015
Last updated
09/25/2025
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