Individual
LACEE NICOLLE NIEHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW, LSW
Contact information
Practice address
2420 E 10TH ST, JEFFERSONVILLE, IN 47130-7303
(812) 282-3291
Mailing address
3511 BANNER DR, JEFFERSONVILLE, IN 47130-9797
(812) 786-2793
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33005515A
IN
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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