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Individual

LACEY JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3655 ARMINGTON RD, PALMYRA, NY 14522-9607
(315) 331-2300
Mailing address
3655 ARMINGTON RD, PALMYRA, NY 14522-9607
(315) 331-2300

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
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