Lacey Anderson

NPI #1801306733 in Morris, Illinois

Provider Information

NPI Number
1801306733
Entity Type
Individual
Name
Lacey Anderson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - School
Enumeration Date
Oct 5, 2017
Last Updated
Oct 5, 2017

Practice Location

Address
4040 N DIVISION ST
City
Morris
ZIP Code
60450-9357
Phone
(815) 416-1749

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool

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