Lacie Marie Wilson

NPI #1376221069 in Palmer, Alaska

Provider Information

NPI Number: 1376221069
Entity Type: Individual
Name: Lacie Marie Wilson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 11, 2023
Last Updated: Jul 11, 2023

Practice Location

Address: 7610 E PALMER WASILLA HWY
City: Palmer
State: Alaska
ZIP Code: 99645-8467
Phone: (907) 206-4421

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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