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1912260639
LACEY R SMITH
WINFIELD, KS
NPI
1912260639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 457)
Enumeration Date
2012-06-18
Last Update Date
2012-06-18
Business Address
-- LACEY R SMITH LAC
2720 E 12TH AVE
WINFIELD, KS 67156-4114
Phone number: 620-221-6252
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Mailing Address
-- LACEY R SMITH LAC
900 E LAHARPE ST
KIRKSVILLE, MO 63501-4520
Phone number: 660-665-1962
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