LARRY G. LACEY

CAPE GIRARDEAU, MO
NPI1437334729
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2006033651)
Enumeration Date2008-01-04
Last Update Date2008-01-04
Business Address
-- LARRY G. LACEY MSW
1221 N KINGSHIGHWAY ST IMPERIAL BUILDING
CAPE GIRARDEAU, MO 63701-3506
Phone number: 573-335-7929
Mailing Address
-- LARRY G. LACEY MSW
PO BOX 645
CAPE GIRARDEAU, MO 63702-0645
Phone number: 573-335-7929
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