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1558743633
VIRGINIA LACEK
PRESCOTT VALLEY, AZ
NPI
1558743633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC0794)
Enumeration Date
2015-06-24
Last Update Date
2015-06-24
Business Address
-- VIRGINIA LACEK LISAC
3343 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314-1213
Phone number: 928-445-5211
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Mailing Address
-- VIRGINIA LACEK LISAC
3343 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314-1213
Phone number: 928-445-5211
Copy
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