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1508265406
LACEY RENEE BUXTON
FORT PIERCE, FL
NPI
1508265406
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH12681)
Enumeration Date
2014-08-15
Last Update Date
2017-12-29
Business Address
LACEY RENEE BUXTON LMHC
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-468-5600
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Mailing Address
LACEY RENEE BUXTON LMHC
4500 W MIDWAY RD
FORT PIERCE, FL 34981-4823
Phone number: 772-468-5600
Copy
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