Lacey Lynn Soto, LICSW

NPI #1427642511 in Red Lake, Minnesota

Provider Information

NPI Number: 1427642511
Entity Type: Individual
Name: Lacey Lynn Soto, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Mar 1, 2021
Last Updated: Mar 1, 2021

Practice Location

Address: MAIN AVE
City: Red Lake
State: Minnesota
ZIP Code: 56671-5650
Phone: (218) 204-1955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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