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DARYL E LACE PLPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1194916312

Individual Registrant:
 DARYL E LACE PLPC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
514 W HUBBLE DR  MARSHFIELD, MO 65706 US
Tel: 417-859-7746  Fax: 417-859-7411

Contact information for business:
PO BOX 256  MARSHFIELD, MO 65706-0256 US
Tel: 417-859-7746  Fax: 417-859-7411

Registration Information:
NPI: 1194916312
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
MO2007021150

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS MO - Page 1

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