Lacey Thompson LSW

NPI 1730509084 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1730509084
Gender Female
Enumeration Date 04/24/2014
Last Updated 04/24/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
110 WEST BROADWAY
SUITE 202
WILLISTON ND, 58801, US
Phone (701) 774-6300
Fax (701) 572-9794
Business Location
110 WEST BROADWAY
SUITE 202
WILLISTON ND, 58801, US
Phone (701) 774-6300
Fax (701) 572-9794
Toxanomy
Taxonomy Code 171M00000X
License State North Dakota
License Number 4689
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According to our database, Lacey Thompson LSW NPI is 1730509084, taxonomy code is 171M00000X and license number is 4689, license state is located at North Dakota. Lacey Thompson LSW physically located at 110 West Broadway, Williston ND, 58801. NPI Number Lacey Thompson LSW has the Individual type.

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1730509084 NPI number is provided on an as is basis without warranty of any kind. 1730509084 is maintained by the National Plan & Provider Enumeration System. The contents of Lacey Thompson LSW are for informational purposes only.