Individual
LACEY RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14190 SE 145TH RD, GOWER, MO 64454-8104
(816) 248-2458
Mailing address
14190 SE 145TH RD, GOWER, MO 64454-8104
(816) 248-2458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2023020968
MO
101YM0800X
Mental Health Counselor
Primary
2025044570
MO
Other
Enumeration date
06/08/2023
Last updated
02/05/2026
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