Individual
REBEKAH LACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W 10TH, SUNRAY, TX 79086-1752
(806) 382-3204
Mailing address
PO BOX 1079, SUNRAY, TX 79086-1079
(806) 382-3204
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
41693
TX
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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