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1912399247
LACEY CASE
TUPELO, MS
NPI
1912399247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MS S3657)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- LACEY CASE
2844 TRACELAND DR
TUPELO, MS 38801-4200
Phone number: 662-680-3148
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Mailing Address
-- LACEY CASE
907 E WALKER ST
FULTON, MS 38843-8954
Phone number: 662-862-6140
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