Individual
MRS. LACEY NICOLE REMINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP
Contact information
Practice address
145 JAMESTOWN RD, MACOMB, IL 61455-9400
(309) 313-1289
Mailing address
145 JAMESTOWN RD, MACOMB, IL 61455-9400
(309) 313-1289
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1795788
IL
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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