Harrison, Lacey Theresa

Harrison, Lacey Theresa is an individual health care provider with primary practice located at 4820 W 77Th St Ste 130 , Edina MN 55435-4832. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Harrison, Lacey Theresa can be contacted via phone (651) 313-8080.

Contact Information

Primary practice address
4820 W 77Th St Ste 130 Edina MN 55435-4832
Phone: (651) 313-8080
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1295271971
LBN Legal business name Harrison, Lacey Theresa
Credentials MSW, LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2017
Last updated May 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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