Individual
MRS. EUGENIA GAIL LACEY-GENGELBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW LCSW
Contact information
Practice address
2530 SANDCREST BLVD, COLUMBUS, IN 47201
(812) 372-3177
(812) 372-3692
Mailing address
4476 S US HIGHWAY 31, CROTHERSVILLE, IN 47229-9647
(812) 793-3582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001264A
IN
Other
Enumeration date
04/12/2008
Last updated
05/02/2008
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