Individual
KRISTIN LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 CHESTERFIELD LN, SOUTH ELGIN, IL 60177-3700
(847) 207-5087
Mailing address
618 CHESTERFIELD LN, SOUTH ELGIN, IL 60177-3700
(847) 207-5087
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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