LACEY VIVIENNE MOFFATT

SHREVEPORT, LA
NPI1154119360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  68380)
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
Dr. LACEY VIVIENNE MOFFATT PsyD, LPC
648 ELMWOOD ST
SHREVEPORT, LA 71104-4902
Phone number: 318-470-5434
Mailing Address
Dr. LACEY VIVIENNE MOFFATT PsyD, LPC
648 ELMWOOD ST
SHREVEPORT, LA 71104-4902
Phone number: 318-470-5434