Individual
BRIGITTE GIL LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
503 N MAIN ST, CHASE CITY, VA 23924-1407
(434) 533-3367
(434) 830-0566
Mailing address
2055 SALISHAN DR, HALIFAX, VA 24558-3309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001330
VA
Other
Enumeration date
08/08/2022
Last updated
08/21/2022
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