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1174166342
LACEY KRISTINE BROOKS
FAIRFIELD, IA
NPI
1174166342
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Former Name
LACEY DICKEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 007699)
Enumeration Date
2019-10-21
Last Update Date
2024-05-15
Business Address
LACEY KRISTINE BROOKS LISW
406 E MADISON AVE
FAIRFIELD, IA 52556-3645
Phone number: 641-683-5773
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Mailing Address
LACEY KRISTINE BROOKS LISW
PO BOX 458
OTTUMWA, IA 52501-0458
Phone number: 641-684-6896
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