Lacey Carlock
NPI #1598401077 in Springfield, Illinois
Provider Information
- NPI Number
- 1598401077
- Entity Type
- Individual
- Name
- Lacey Carlock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 9, 2022
- Last Updated
- May 9, 2022
Practice Location
- Address
- 3921 PINTAIL DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-6738
- Phone
- (502) 297-0133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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