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MRS. LACEY MICHELLE GRANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
205 S WALNUT ST STE 11, BLOOMINGTON, IN 47404-6118
(812) 325-1348
Mailing address
3444 S ASHWOOD DR, BLOOMINGTON, IN 47401-9762
(812) 361-3404

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005963A
IN

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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