Individual
MRS. LACY OLIVIA FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
457 S STATE ROAD 145, FRENCH LICK, IN 47432-1036
(812) 936-9666
Mailing address
650 PEARL ST, RIB LAKE, WI 54470-9322
(715) 427-5291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22004475A
IN
235Z00000X
Speech-Language Pathologist
Primary
5085-154
WI
Other
Enumeration date
02/01/2011
Last updated
03/16/2021
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