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1457192965
LACI JOHNSON
FORT WAYNE, IN
NPI
1457192965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IN 99125292A)
Enumeration Date
2024-06-06
Last Update Date
2024-06-11
Business Address
LACI JOHNSON M.S.Ed.
8113 LIMA RD STE B
FORT WAYNE, IN 46818-2162
Phone number: 260-267-5175
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Mailing Address
LACI JOHNSON M.S.Ed.
7323 THOROUGHBRED DR APT 3D
FORT WAYNE, IN 46804-2350
Phone number: 260-271-9081
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