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Individual

LACEY R DORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LPC, NCC

Contact information

Practice address
PO BOX 431, SHERIDAN, WY 82801-0431
(970) 986-6295
Mailing address
PO BOX 431, SHERIDAN, WY 82801-0431
(970) 986-6295

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0016585
CO
101YP2500X
Professional Counselor
Primary
2242
WY

Other

Enumeration date
07/23/2020
Last updated
09/27/2025
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