Michelle Lacost

NPI #1205211968 in Kankakee, Illinois

Provider Information

NPI Number: 1205211968
Entity Type: Individual
Name: Michelle Lacost
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jul 23, 2015
Last Updated: Feb 5, 2018

Practice Location

Address: 7743 W STATE ROUTE 17
City: Kankakee
State: Illinois
ZIP Code: 60901-8000
Phone: (815) 348-7566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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