Individual
MS. LACIE A LAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12797 3RD ST, YUCAIPA, CA 92399-4544
(909) 797-0174
Mailing address
12797 3RD ST, YUCAIPA, CA 92399-4544
(909) 797-0174
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA508
CA
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
07/14/2010
Last updated
01/20/2026
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