Lacey Marie Longwith
NPI #1497289185 in Raymond, Washington
Provider Information
- NPI Number
- 1497289185
- Entity Type
- Individual
- Name
- Lacey Marie Longwith
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Apr 19, 2017
- Last Updated
- Jan 29, 2020
Practice Location
- Address
- 300 OCEAN AVE
- City
- Raymond
- State
- Washington
- ZIP Code
- 98577-3016
- Phone
- (360) 942-2303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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