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1790285286
MARTELA CARRON LACY
DECATUR, AL
NPI
1790285286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
MARTELA CARRON LACY BA
1315 13TH AVE SE
DECATUR, AL 35601-4308
Phone number: 256-260-7306
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Mailing Address
MARTELA CARRON LACY BA
1316 SOMERVILLE RD SE STE 1
DECATUR, AL 35601-4309
Phone number: 256-260-7361
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