Individual
LACI FRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1019 JONES ST, SIOUX CITY, IA 51105-1751
(712) 746-7447
Mailing address
1019 JONES ST, SIOUX CITY, IA 51105-1751
(712) 746-7447
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1343487
IA
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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