Individual
LACIE DEA GILLASPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 S 8TH ST, NORFOLK, NE 68701-5875
(402) 371-0220
Mailing address
PO BOX 1392, NORFOLK, NE 68702-1392
(402) 371-0220
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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