Individual
LACEY MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 WALKERS MILL CIR APT 202, ROCK HILL, SC 29732-3217
(803) 837-9214
Mailing address
309 WALKERS MILL CIR APT 202, ROCK HILL, SC 29732-3217
(803) 837-9214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YM0800X
SC
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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