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1023554896
SHACOLA LACY
FRESNO, CA
NPI
1023554896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-17
Last Update Date
2024-09-27
Business Address
Mrs. SHACOLA LACY SUDCC #11319
4452 E CESAR CHAVEZ BLVD
FRESNO, CA 93702
Phone number: 559-600-6068
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Mailing Address
Mrs. SHACOLA LACY SUDCC #11319
4452 E. CESAR CHAVEZ BLVD
FRESNO, CA 93702
Phone number: 559-600-6068
Copy
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