PHYLLIS J LACKEY

XENIA, OH
NPI1174682504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OH  C0003153)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
-- PHYLLIS J LACKEY Lic Prof Counselor
482 N DETROIT ST
XENIA, OH 45385
Phone number: 937-374-6010
Mailing Address
-- PHYLLIS J LACKEY Lic Prof Counselor
76 FORDWAY DR SUITE 2
VANDALIA, OH 45377
Phone number: 937-890-3139