Individual
MRS. LACEY LEE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1138 22ND ST, WEST DES MOINES, IA 50265-2221
(515) 770-5548
Mailing address
1138 22ND ST, WEST DES MOINES, IA 50265-2221
(515) 770-5548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008029
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
716MM6755
—
IA
Enumeration date
03/20/2019
Last updated
03/20/2019
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