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1881073682
LACEY ADAMCIK
BOISE, ID
NPI
1881073682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: ID LCSW-38291)
Enumeration Date
2015-05-26
Last Update Date
2019-08-27
Business Address
LACEY ADAMCIK
11661 W BASERRI DR
BOISE, ID 83709
Phone number: 208-791-2886
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Mailing Address
LACEY ADAMCIK
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
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