Individual
MS. DEBRA ANN LACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
311 36TH ST NE, CEDAR RAPIDS, IA 52402-6117
(319) 365-0452
(319) 366-1116
Mailing address
311 36TH ST NE, CEDAR RAPIDS, IA 52402-6117
(319) 365-0452
(319) 366-1116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06213
IA
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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