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1457663148
JENNIE LACY
SAN DIEGO, CA
NPI
1457663148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-07-09
Last Update Date
2010-07-09
Business Address
-- JENNIE LACY
140 ARBOR DR
SAN DIEGO, CA 92103-2007
Phone number: 619-543-6729
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Mailing Address
-- JENNIE LACY
324 W WASHINGTON ST
SAN DIEGO, CA 92103-1969
Phone number:
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