Individual
MRS. BETHANY LACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3555 COMMONWEALTH BLVD, TALLAHASSEE, FL 32303-3119
(850) 575-6422
(850) 575-7225
Mailing address
3555 COMMONWEALTH BLVD, TALLAHASSEE, FL 32303-3119
(850) 575-6422
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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