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1235812967
LACEY FORTICE
HOUSTON, TX
NPI
1235812967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-08-09
Last Update Date
2023-08-09
Business Address
LACEY FORTICE
4411 DACOMA ST
HOUSTON, TX 77092-8611
Phone number: 713-686-9194
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Mailing Address
LACEY FORTICE
4411 DACOMA ST
HOUSTON, TX 77092-8611
Phone number: 713-686-9194
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