CLARISSA R LACEY

CLOVIS, NM
NPI1841624897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NM  5388)
Enumeration Date2013-08-27
Last Update Date2013-08-27
Business Address
-- CLARISSA R LACEY CCC-SLP
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 575-935-0011
Mailing Address
-- CLARISSA R LACEY CCC-SLP
PO BOX 19000
CLOVIS, NM 88102-9000
Phone number: 575-935-0011
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