Mrs Lacey Green Clark, | |
5419 Highway 25 Ste R, Flowood, MS 39232-6343 | |
(601) 479-5392 | |
Not Available |
Full Name | Mrs Lacey Green Clark |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 5419 Highway 25 Ste R, Flowood, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477000347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 1384 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Lacey Green Clark, 5419 Highway 25 Ste R, Flowood, MS 39232-6343 Ph: (601) 479-5392 | Mrs Lacey Green Clark, 5419 Highway 25 Ste R, Flowood, MS 39232-6343 Ph: (601) 479-5392 |
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