Individual
RACHEL LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
9870 N SWIFT FOX PL, MARANA, AZ 85653-0109
(847) 922-5521
Mailing address
9870 N SWIFT FOX PL, MARANA, AZ 85653-0109
(847) 922-5521
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15300
AZ
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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