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Katrina Moneiqe' Lacy

Case Manager/Care Coordinator in Prescott, AR. Individual provider (NPI-1).

NPI number1487797486
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1487797486
Entity type
Individual (NPI-1)
Name
Katrina Moneiqe' Lacy
Sex
Female
Sole proprietor
No
Enumeration date
Feb 15, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

1658 Hwy 371 West
Prescott, AR 71857

Phone 870-887-3660 · Fax 870-887-3705

Mailing address

2904 Arkansas Blvd
Texarkana, AR 71854-2536

Phone 870-773-4655 · Fax 870-772-4650

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