Individual
LACY MONDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9813
TN
1041C0700X
Clinical Social Worker
6350
TN
1041C0700X
Clinical Social Worker
Primary
CSW.09928143
CO
Other
Enumeration date
09/27/2013
Last updated
08/10/2022
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