Individual
CURTIS A. LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
5490 DALTON RDG, FENNVILLE, MI 49408-8447
(269) 673-6617
Mailing address
5490 DALTON RDG, FENNVILLE, MI 49408-8447
(269) 673-6617
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401007869
MI
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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