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Mary Grace Lacy
Mental Health Counselor in Watseka, Illinois
NPI 1922727312

Mary Grace Lacy is a Mental Health Counselor based in Watseka, IL and is specialized in Mental Health. Mary Grace Lacy practices in Watseka, IL. The NPI Number for Mary Grace Lacy is 1922727312 and holds a License No. 178005536 (Illinois).

The current practice location address for Mary Grace Lacy is 323 W Mulberry St, Watseka, IL and can be reached out via phone at 815-432-5241.

Location: 323 W Mulberry St, Watseka, IL, 60970-0322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922727312
Provider Name
Mary Grace Lacy
Credential
Provider Entity Type
Individual
Gender
Female
Address
323 W Mulberry St, Watseka, IL, 60970-0322
Phone Number
815-432-5241
Fax Number
Provider Enumeration Date
08/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
323 W Mulberry St
City
Watseka
State
Illinois
Zip
60970-1568
Phone Number
815-432-5241
Fax Number
person
Provider Business Mailing Address Details
Address
323 W Mulberry St
City
Watseka
State
Illinois
Zip
60970-1568
Phone Number
815-432-5241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
178005536 (Illinois)
Definition
Definition to come...
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