Individual
LACEY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 N MAIN ST, MADISONVILLE, KY 42431-1553
(270) 216-6216
(270) 245-1013
Mailing address
436 N MAIN ST, MADISONVILLE, KY 42431-1553
(270) 216-6216
(270) 245-1013
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-296883
IN
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/24/2024
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