AMANDA LACKEY

JACKSONVILLE, NC
NPI1427300409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2012-10-15
Last Update Date2012-10-22
Business Address
-- AMANDA LACKEY BS,SHS
307 TIMOTHY RD
JACKSONVILLE, NC 28546-9246
Phone number: 251-752-7098
Mailing Address
-- AMANDA LACKEY BS,SHS
2708 NE 14TH ST STE 5
POMPANO BEACH, FL 33062-3565
Phone number: 888-880-9270