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1316705171
LACEY BASS
FORT WAYNE, IN
NPI
1316705171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-03-07
Last Update Date
2024-03-07
Business Address
LACEY BASS
2250 LAKE AVE STE 100
FORT WAYNE, IN 46805-5352
Phone number: 260-543-0009
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Mailing Address
LACEY BASS
2250 LAKE AVE STE 100
FORT WAYNE, IN 46805-5352
Phone number:
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