MRS. Miranda Sharelle Lackey

NPI #1033604848 in Kent, Ohio

Provider Information

NPI Number: 1033604848
Entity Type: Individual
Name: MRS. Miranda Sharelle Lackey
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jun 25, 2018
Last Updated: Jun 25, 2018

Practice Location

Address: 5982 RHODES RD
City: Kent
State: Ohio
ZIP Code: 44240-8100
Phone: (330) 673-1347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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