Individual
STACEY LALEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 THOMASTON ST, ZEBULON, GA 30295-3387
(404) 960-1282
Mailing address
4006 HIGHWAY 34 E, SHARPSBURG, GA 30277-3531
(404) 960-1282
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007353
GA
Other
Enumeration date
07/28/2021
Last updated
12/21/2022
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