LYDIA MISCHA LACY

KENNESAW, GA
NPI1578065280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP008693)
Enumeration Date2018-03-08
Last Update Date2018-12-03
Business Address
LYDIA MISCHA LACY MA.CCC.SLP
342 MCCOOK CIR NW
KENNESAW, GA 30144-3157
Phone number: 810-499-2767
Mailing Address
LYDIA MISCHA LACY MA.CCC.SLP
342 MCCOOK CIR NW
KENNESAW, GA 30144-3157
Phone number: 810-499-2767
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