Individual
LACEY DAWN FIVECOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2629 REDWING RD STE 280, FORT COLLINS, CO 80526-2879
(970) 788-2923
Mailing address
2705 MEADOWLARK AVE, FORT COLLINS, CO 80526-2835
(870) 819-6522
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09931083
CO
Other
Enumeration date
06/29/2020
Last updated
01/17/2025
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