Individual
ERICA LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 FRANKFORD AVE FL 2, PHILADELPHIA, PA 19124-3602
(215) 831-9882
(215) 831-9887
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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