Whalio Doctors

NPI 1023540804

Lacy Suby, LCSW

Practitioner Clinical Social Worker Grand Forks, ND

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
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 4418 (ND)

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.