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Miss Lacey Marie Wilson, MS,LPC
Professional Counselor in Springfield, Missouri
NPI 1740681394

Lacey Marie Wilson is a Professional Counselor based in Willard, MO and is specialized in Professional. Lacey Marie Wilson practices in Springfield, MO and has the professional credentials of MS,LPC. The NPI Number for Lacey Marie Wilson is 1740681394 and holds a License No. 2014042626 (Missouri).

The current practice location address for Lacey Marie Wilson is 1212 W Lombard St, Springfield, MO and can be reached out via phone at 417-865-1646 and via fax at 417-866-1483.

Location: 1212 W Lombard St, Springfield, MO, 65781-9235
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Provider Profile Details
NPI Number
1740681394
Provider Name
Lacey Marie Wilson
Credential
MS,LPC
Provider Entity Type
Individual
Gender
Female
Address
1212 W Lombard St, Springfield, MO, 65781-9235
Phone Number
417-865-1646
Fax Number
417-866-1483
Provider Enumeration Date
09/12/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740681394 05 MO
institution
Provider Business Practice Location Address Details
Address
1212 W Lombard St
City
State
Zip
65806-2720
Phone Number
417-865-1646
Fax Number
417-866-1483
person
Provider Business Mailing Address Details
Address
1212 W Lombard St
City
State
Zip
65806-2720
Phone Number
417-865-1646
Fax Number
417-866-1483
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2014042626 (Missouri)
Definition
Definition to come...
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