Individual
MS. KOLE K LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 954-8883
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 954-8883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6931
ND
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/23/2024
Last updated
11/12/2025
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