Individual
LACEY M. FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7818 MOLINE RD, WEBSTER, WI 54893-8545
(715) 866-8301
(715) 866-8374
Mailing address
203 UNITED WAY DRIVE, FREDERIC, WI 54837-8938
(715) 327-4322
(715) 327-8509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8011-123
WI
Other
Enumeration date
12/05/2012
Last updated
08/06/2013
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