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1558648295
LACEY J RUSSELL
HIAWATHA, KS
NPI
1558648295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: KS 9213)
Enumeration Date
2011-11-09
Last Update Date
2014-06-10
Business Address
-- LACEY J RUSSELL LMSW
909 S 2ND ST
HIAWATHA, KS 66434-2774
Phone number: 785-742-7113
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Mailing Address
-- LACEY J RUSSELL LMSW
468 2ND ST
BAILEYVILLE, KS 66404-8484
Phone number: 785-289-6585
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