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1144047473
LACEY MOSS
GROVE, OK
NPI
1144047473
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Former Name
LACEY KERR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OK CF648)
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
LACEY MOSS M.S. CF -SLP
2202 S MAIN ST
GROVE, OK 74344-5328
Phone number: 918-964-7025
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Mailing Address
LACEY MOSS M.S. CF -SLP
2202 S MAIN ST
GROVE, OK 74344-5328
Phone number: 918-964-7025
Copy
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