JASON TINO LACY

POTTSTOWN, PA
NPI1316597081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
JASON TINO LACY
11 ROBINSON ST
POTTSTOWN, PA 19464-6421
Phone number: 484-941-0500
Mailing Address
JASON TINO LACY
11 ROBINSON ST
POTTSTOWN, PA 19464-6421
Phone number: 484-941-0500
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