Individual
LACEY SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4636 N JOSEY LN APT 2514, CARROLLTON, TX 75010-4646
(254) 315-7368
Mailing address
4636 N JOSEY LN APT 2514, CARROLLTON, TX 75010-4646
(254) 315-7368
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
11/07/2016
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