SearchArkansas235Z00000X

Lacie Bruick, MSCCCSLP

NPI 1649549098 · on the registry since 2011 · sole proprietor

Practice

Address
313 Elizabeth St
Conway, AR 72034
Phone
(501) 744-0329

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas