Individual
MS. LACEY MARIE KEENZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
800 KALISTE SALOOM RD, LAFAYETTE, LA 70508-4210
(337) 233-2400
(337) 233-3656
Mailing address
PO BOX 44676, LAFAYETTE, LA 70504-0001
(337) 233-2400
(337) 233-3656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10192
LA
Other
Enumeration date
08/26/2011
Last updated
10/07/2013
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