LACEY LARSON

PROVO, UT
NPI1487036729
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-06-23
Last Update Date2015-06-23
Business Address
-- LACEY LARSON
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
Mailing Address
-- LACEY LARSON
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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