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1093020786
LACY CHAVIS
ST PETERSBURG, FL
NPI
1093020786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
Additional Taxonomies
103T00000X Psychologist
(Licence: FL PY8429)
Enumeration Date
2010-08-18
Last Update Date
2018-11-16
Business Address
LACY CHAVIS Psy.D.
880 6TH ST S STE 420
ST PETERSBURG, FL 33701-4825
Phone number: 727-767-8477
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Mailing Address
LACY CHAVIS Psy.D.
880 6TH ST S STE 420
ST PETERSBURG, FL 33701-4825
Phone number: 727-767-8477
Copy
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