Individual
MR. LACEY BROOM HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1312C HARRISON AVE, MCCOMB, MS 39648-2830
(601) 684-8284
Mailing address
18 ATLEY HOLMES RD, JAYESS, MS 39641-8272
(601) 303-0154
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5152
MS
Other
Enumeration date
12/20/2018
Last updated
05/02/2023
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