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1578059259
TIFFANY LACY DAVID
LAKE CHARLES, LA
NPI
1578059259
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Former Name
TIFFANY LACY OWEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: LA L-588)
Enumeration Date
2018-07-06
Last Update Date
2023-02-10
Business Address
Mrs. TIFFANY LACY DAVID BCBA, LBA
226 W PRIEN LAKE RD STE 3
LAKE CHARLES, LA 70601-8781
Phone number: 337-240-2779
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Mailing Address
Mrs. TIFFANY LACY DAVID BCBA, LBA
226 W PRIEN LAKE RD STE 3
LAKE CHARLES, LA 70601-8781
Phone number: 337-240-2779
Copy
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