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1740681394
LACEY MARIE WILSON
SPRINGFIELD, MO
NPI
1740681394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2014042626)
Enumeration Date
2014-09-12
Last Update Date
2018-06-16
Business Address
Miss LACEY MARIE WILSON MS, LPC
1212 W LOMBARD ST
SPRINGFIELD, MO 65806-2720
Phone number: 417-865-1646
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Mailing Address
Miss LACEY MARIE WILSON MS, LPC
305 ARROWHEAD RD
WILLARD, MO 65781-9235
Phone number: 417-693-0120
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