NPI 1023540804
Lacy Suby, LCSW
Practice location
- Address
- 2300 Library Cir, Grand Forks, ND 58201-6328
- Phone
- (701) 757-0477
- Fax
- (701) 772-1763
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1023540804
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Mar 2017
- Record last updated
- 9 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.