Individual
LACEY L STASZCUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 DIVISION ST, BILLINGS, MT 59101-6001
(406) 210-1945
Mailing address
1103 PEPPER LN, BILLINGS, MT 59102-4048
(406) 210-1945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-19039
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77039
—
MT
Enumeration date
11/08/2016
Last updated
07/10/2023
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