Individual
JAMES HENRY LACEY JR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
331 MAIN ST, NORWICH, CT 06360-5836
(860) 889-8346
(860) 889-2658
Mailing address
410 EMMETT ST UNIT 26, BRISTOL, CT 06010-8602
(860) 940-3462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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