Mr. Dale Ray Lacy Jr., MENTALHEALTHWORKER
Mr. Dale Ray Lacy Jr., MENTALHEALTHWORKER is a Rehabilitation Practitioner in Fresno, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
3147 N Millbrook AveFresno, CA 93703-1425
Phone: (559) 453-3860
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1245360585 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MENTALHEALTHWORKER |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
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