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1669965687
LACY MICHELLE THEOBALD
TEMPLE, TX
NPI
1669965687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 50725)
Enumeration Date
2018-06-13
Last Update Date
2024-12-13
Business Address
LACY MICHELLE THEOBALD LCSW
3010 SCOTT BLVD STE 103
TEMPLE, TX 76504-6803
Phone number: 254-773-4022
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Mailing Address
LACY MICHELLE THEOBALD LCSW
1216 THISTLE PARK
ROBINSON, TX 76706-7291
Phone number: 254-855-8297
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