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1316344542
MARY LUCAS LACEY
CHARLOTTE, NC
NPI
1316344542
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Entity Type
Organization
Authorized Contact
MARY LUCAS LACEY
Counselor
704-421-5505
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NC LPC3459)
Enumeration Date
2014-12-03
Last Update Date
2014-12-03
Business Address
MARY LUCAS LACEY
3420 PLANTATION RD
CHARLOTTE, NC 28270-0729
Phone number: 704-421-5505
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Mailing Address
MARY LUCAS LACEY
3420 PLANTATION RD
CHARLOTTE, NC 28270-0729
Phone number: 704-421-5505
Copy
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