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LACEY L ALEXANDER MSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1780809665

Individual Registrant:
 LACEY L ALEXANDER MSW
Gender: F
Sole Proprietor

Location and contact information for practice:
801 S SHIELDS ST  FORT COLLINS, CO 80521-3541 US
Tel: 970-221-0550  Fax: --

Contact information for business:
1030 DAVIDSON DR APT J3  FORT COLLINS, CO 80526-5541 US
Tel: --  Fax: --

Registration Information:
NPI: 1780809665
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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