KANZIS MALON LACKEY

TAYLORSVILLE, NC
NPI1043960859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-03-25
Last Update Date2022-03-25
Business Address
KANZIS MALON LACKEY
31 E MAIN AVE
TAYLORSVILLE, NC 28681-2540
Phone number: 704-872-0123
Mailing Address
KANZIS MALON LACKEY
163 SADDLEWOOD LN
STATESVILLE, NC 28625-5522
Phone number: 704-450-1006
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