Individual
LACEE HAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1884 NE COUNTY ROAD 5004, BUTLER, MO 64730-8684
(660) 227-1257
Mailing address
6488 NW STATE ROUTE 18, ADRIAN, MO 64720-4805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
2024035981
MO
Other
Enumeration date
07/23/2020
Last updated
11/07/2024
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