JAYLON LACY

EAGLE RIVER, AK
NPI1316661606
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-09-29
Last Update Date2022-09-29
Business Address
JAYLON LACY
16233 COPPER MOUNTAIN CIR
EAGLE RIVER, AK 99577-7704
Phone number: 907-891-6923
Mailing Address
JAYLON LACY
16233 COPPER MOUNTAIN CIR
EAGLE RIVER, AK 99577-7704
Phone number: 907-891-6923
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