Individual
LACEY ZANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1708 HIGHLAND AVE, CARROLLTON, KY 41008-8775
(502) 732-9331
Mailing address
1708 HIGHLAND AVE, CARROLLTON, KY 41008-8775
(502) 732-9331
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/24/2008
Last updated
11/06/2024
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