LACEY JO WALLACE

SPRINGFIELD, MO
NPI1710461868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MO  2017030034)
Enumeration Date2018-09-24
Last Update Date2018-09-24
Business Address
Mrs. LACEY JO WALLACE MS, PLPC
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809-2146
Phone number: 417-763-3309
Mailing Address
Mrs. LACEY JO WALLACE MS, PLPC
2131 S EASTGATE AVE
SPRINGFIELD, MO 65809-2146
Phone number: 417-763-3309
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