Individual
SHEREE B LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 DEAN ST APT 3R, BROOKLYN, NY 11216-3452
(718) 309-9109
Mailing address
1314 DEAN ST APT 3R, BROOKLYN, NY 11216-3452
(718) 309-9109
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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