Individual
BERTILDA DUHON LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11200 BROADWAY ST STE 2743, PEARLAND, TX 77584-9787
(281) 937-4139
Mailing address
9720 BROADWAY ST APT 1416, PEARLAND, TX 77584-8491
(832) 244-4383
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/11/2006
Last updated
11/21/2020
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