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1912593831
LACEY N. STONEBRAKER
INDIANAPOLIS, IN
NPI
1912593831
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Former Name
LACEY N. BACON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34008441A)
Enumeration Date
2020-12-15
Last Update Date
2021-01-04
Business Address
LACEY N. STONEBRAKER
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202-5109
Phone number: 317-274-4779
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Mailing Address
LACEY N. STONEBRAKER
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone number: 317-777-6435
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