Individual
LACEY ROSE ZAWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 767-7222
Mailing address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(612) 767-7222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MN
1041C0700X
Clinical Social Worker
Primary
29382
MN
Other
Enumeration date
09/03/2021
Last updated
11/14/2023
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