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Individual

ASHLEY ANN LACKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
349 W MAIN ST STE 1, MARSHALL, MN 56258-1392
(507) 337-2970
Mailing address
349 W MAIN ST STE 1, MARSHALL, MN 56258-1392
(507) 337-2970

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
01/06/2020
Last updated
06/16/2025
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