LACEY ALLEN

KENNETT, MO
NPI1497900120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-11-21
Last Update Date2008-11-21
Business Address
-- LACEY ALLEN RASAC I
103 S MAIN ST SUITE C
KENNETT, MO 63857-3039
Phone number: 573-888-1844
Mailing Address
-- LACEY ALLEN RASAC I
103 S MAIN ST SUITE C
KENNETT, MO 63857-3039
Phone number: 573-888-1844
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