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1508525197
LACEY MICHELLE LOPEZ
BROOKHAVEN, MS
NPI
1508525197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C8769)
Enumeration Date
2021-12-11
Last Update Date
2021-12-11
Business Address
LACEY MICHELLE LOPEZ LCSW
1007 W CONGRESS ST
BROOKHAVEN, MS 39601-2603
Phone number: 601-327-1225
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Mailing Address
LACEY MICHELLE LOPEZ LCSW
1007 W CONGRESS ST
BROOKHAVEN, MS 39601-2603
Phone number:
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