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LACEY JOHNSON

>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1538520994

Individual Registrant:
 LACEY  JOHNSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
257 GLIMER MILLER ROAD  LOWGAP, NC 27024 US
Tel: 336-858-0350  Fax: --

Contact information for business:
257 GLIMER MILLER ROAD  LOWGAP, NC 27024 US
Tel: --  Fax: --

Registration Information:
NPI: 1538520994
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS NC - Page 1



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