Lacie Wally

NPI #1225850894 in San Clemente, California

Provider Information

NPI Number
1225850894
Entity Type
Individual
Name
Lacie Wally
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 25, 2024
Last Updated
Oct 25, 2024

Practice Location

Address
1319 CALLE AVANZADO
ZIP Code
92673-6351
Phone
(949) 272-6146

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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