Individual
LACY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
496 OLD ROUTE 66, SAINT ROBERT, MO 65584-3728
(573) 246-6164
Mailing address
496 OLD ROUTE 66, SAINT ROBERT, MO 65584-3728
(573) 246-6164
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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