LACY RAE GAINES

SOUTH BEND, IN
NPI1285413096
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-09-22
Last Update Date2023-09-22
Business Address
LACY RAE GAINES
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
Mailing Address
LACY RAE GAINES
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-4831
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