Individual
MRS. MICHELLE LAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
15 W GUDE DR STE 400, ROCKVILLE, MD 20850-1168
(240) 740-5640
Mailing address
3519 EVERTON ST, SILVER SPRING, MD 20906-4120
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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