Individual
MRS. LACY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
311 AVENUE N, MATAMORAS, PA 18336
(845) 313-9385
Mailing address
116 PINE TREE RD, SHOHOLA, PA 18458-4320
(845) 313-9385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027668-1
NY
Other
Enumeration date
10/05/2016
Last updated
09/07/2018
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