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Individual

MS. LACEY LORRAINE WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.C.B.A

Contact information

Practice address
323 N STATE ST, CARO, MI 48723-1537
(989) 673-6191
Mailing address
1401 MCDIVITT CT, SAGINAW, MI 48609-4227
(989) 295-6341

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16140
MI

Other

Enumeration date
08/15/2014
Last updated
02/25/2015
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